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Patient Centered Medical Home

PCMH Application Discount Code

The New York State Department of Health (NSYDOH), in partnership with the National Committee for Quality Assurance (NCQA), is permitted to offer a sponsorship code (a 20% discount) to clinicians who participate with Medicaid in New York and are applying to NCQA for new or renewed Patient Centered Medical Home (PCMH) recognition. The discount code may be applied to pre-clinician submission fees for the 2011 or 2014 PCMH recognition programs. Because NCQA offers multi-site practices of three or more independent sites a 50% discount per clinician application fees, such practices are not eligible for an additional discount through this sponsorship.

The NYSDOH-sponsored discount code is available only to clinicians who currently participate with the New York State Medicaid program. To obtain the code, the applicant must send a written request for the code to the NYSDOH at pcmh@health.ny.gov. The request must include the name and National Provider Identifier (NPI) of each clinician requesting use of the code. Please allow up to two weeks for the NYSDOH to review your request once submitted.

Once obtained, the code can be entered into the 'discount code' field of the NCQA PCMH online application any time prior to submission in order to apply a 20% discount. Questions specific to NYSDOH's PCMH discount code can be sent to pcmh@health.ny.gov. General questions about NCQA's PCMH recognition, sponsorship program, or online application should be sent to NCQA via their online portal: http://ncqa.force.com/pcs/login

PCMH Quarterly Report

The report is intended to provide a snapshot of the PCMH program as well as an illustration of how the program is changing over time.

Three Sections:

  • Provider Information: includes the number of PCMH-recognized providers in the state by recognition level
  • Enrollee Information: includes counts of NYS Medicaid enrollees who see PCMH-recognized primary care providers
  • Fiscal Information: includes the amount spent on PCMH by New York State Medicaid through increased capitation rates to recognized providers and fee-for-service 'add-ons' for qualifying visits with recognized providers.
  • September 2014 (PDF, 775KB)
  • June 2014 (PDF, 877KB)
  • March 2014 (PDF, 828KB)
  • December 2013 (PDF, 787KB)
  • September 2013 (PDF, 725KB)
  • June 2013 (PDF, 8614KB)
  • March 2013 (PDF, 583KB)
  • December 2012 (PDF, 576KB)

Patient Centered Medical Home Satisfaction with the Experience of Care

In the fall of 2013, a survey was administered to Medicaid managed care enrollees to compare the experience of care received from providers recognized as PCMH to the experience of care from providers who are not so recognized. While provider groups often look at satisfaction with care within their PCMH practices, this study was unique by comparing satisfaction for PCMH and non-PCMH groups.

The Consumer Assessment of Healthcare Providers and Systems (CAHPS) PCMH survey was sent to Medicaid managed care members throughout New York State. The study was administered to both adults and children and the samples were divided between those who had visits with a PCMH provider and those whose visits were with a non-PCMH provider. Survey administration followed a standardized mail and phone methodology. Reports for both the adult and children's studies are presented here.

Some highlights of the study:

  • Overall satisfaction was generally high with few statistically significant differences between PCMH and non-PCMH groups
  • Provider communication and provider ratings were high for all groups
  • PCMH groups performed significantly better for both adult and child measures of comprehensiveness of care
  • Access to care remains lower in New York City although higher in general for pediatric providers

Recent work by the Office of Quality and Patient Safety has shown that PCMH providers perform better than non-PCMH providers when looking at measures of quality of care. This comparison of patient satisfaction with the experience of care is the first attempt to measure the differences in the patients' perceptions of care, which is also an important component of the PCMH model. While this study did not indicate clear differences between the PCMH and non-PCMH groups, there are a number of provider characteristics which could also be explanatory of differences in patient satisfaction that were not accounted for in this study. Further analyses will examine the effect of these characteristics on patient satisfaction.

The Patient Centered Medical Home Initiative in New York State Medicaid

This 2013 Report to the Governor and the Legislature describes the different PCMH initiatives that New York State Medicaid is participating in, as well as information on program trends, evaluation results, and accomplishments.