PCMH Kids: Sustainability Payments Approved by Medicaid for FY2020

  • 09 Jul 2019

PCMH Kids practices will be eligible to receive multi-payer sustainability payments when they complete the PCMH Kids contract. Medicaid has confirmed that it is including PCMH Kids sustainability payments in the managed care rates for FY2020. RI Office of the Health Insurance Commissioner (OHIC) has policies in place to have commercial payers provide PCMH Kids practices sustainability payments provided the practice meets the state definition of being a patient-centered medical home practice. Many thanks are extended to EOHHS, OHIC and our health plans for investing in the ongoing work that is being done by the PCMH Kids practices.