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It’s not too late! Applications are due July 20 for Comprehensive Primary Care Initiative

July 18, 2012

There are less than 5 days to go before the July 20 deadline for applying for the CMS Comprehensive Primary Care Initiative . Primary care practices that want to receive funding from Blue Cross and Blue Shield of Oklahoma, Medicaid, Medicare, and other local private payers to help them improve patient health and outcomes need to submit an application in order to be considered. This means that primary care practices in the Tulsa region could miss the opportunity to receive thousands of dollars in additional payments. Some practices are under the mistaken impression that they are ineligible to apply if they don’t meet various criteria, such as Meaningful Use status. This is not true. There are several criteria which CMS will use to rank practices, but if only a small number of practices from Tulsa apply, even practices which do not have high scores on all of the CMS criteria can still be selected, since practices are competing against practices in their own community, not those in other states.

In particular, a primary care practice is eligible to apply for the program even if:

  • It has not reached Stage 1 Meaningful Use
  • It does not have an operational EHR
  • It does not have NCQA Medical Home Certification
  • Fewer than 60% of its patients are covered by participating payers

 

All of the health plans which are supporting the program want to ensure that all types of practices participate in the program, including practices in rural areas and independent practices, so no primary care practice should assume that it has “little chance” of being selected. Apply today .

If a primary care practice has questions about the program or the kinds of financial support it will receive, or if it needs assistance in completing the application process, it should contact any or all of the participating payers for more information or help:

Blue Cross and Blue Shield of Oklahoma:
Elaine Olzawski: elaine_olzawski@hcsc.net; 918-551-2004

Oklahoma Health Care Authority:
Melody Anthony: melody.anthony@okhca.org; 405-522-7360

Medicare:
Christelle Chen: CPCI@cms.hhs.gov