Under the New York State Medicaid 1115 waiver, New York state Patient-Centered Medical Home-recognized practices are eligible for enhanced Medicaid per member per month payments — but PCMH recognition alone is no longer enough.
Don’t leave earned PMPM revenue behind
Download the insider’s guide to maximizing enhanced PMPM under the 1115 waiver.
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A trusted National Committee for Quality Assurance (NCQA) liaison that works with physician practices, hospitals, insurance vendors and healthcare organizations nationwide.
What's inside
Expert strategies that teach PCMH practices how to protect revenue, meet new requirements and prepare for performance-based accountability under New York's 1115 waiver.
Clear eligibility and immediate action steps A straightforward breakdown of eligibility requirements, requirements and actions your practice must take now to protect and secure enhanced PMPM.
How the 1115 waiver is shifting accountability
Explanation on New York state’s broader move toward value-based accountability.
Financial risk, eCQM readiness and performance strategy
Insight into the operational and revenue risks ahead, why electronic clinical quality measure (eCQM) readiness is now a strategic capability, and how to prepare for performance benchmarks.
Action checklist and practical roadmap
A step-by-step path from eligibility to sustainability, including a tactical action checklist and how DataGen can support execution.
Earn and sustain NCQA PCMH recognition
Deliver exceptional patient-centered care
Hands-on practice transformation support to streamline annual reporting, strengthen workflows and improve patient-centered care.
