Common use of Administration of Blueprint Payment Processes Clause in Contracts

Administration of Blueprint Payment Processes. Enhanced payments under the Blueprint model include: • Per Person Per Month (PPPM) payments from all participating payers to practices that have been recognized as patient-centered medical homes • CHT payments from all participating payers to support core CHT functions • CHT payments from Medicare to support the SASH program • CHT payments from DVHA/Medicaid to support the CHT-Spoke staff Detailed information on providers, practices, and CHT administrative entities is required by commercial and public payers in order to implement these enhanced payments. The State shall provide data collection tools for required information to project managers according to the following schedule: a. The State shall provide data collection tools for practice-level patient numbers to determine CHT scaling on a quarterly basis, on or near the fifteenth (15th) of February, May, August, and November. Grantee shall accurately complete these data collection tools within twenty (20) business days of receipt. b. The State shall provide practice and provider payment data collection tools for practices undergoing initial NCQA PCMH recognition approximately two and one half (2.5) months prior to the anticipated scoring date. Grantee shall accurately complete these data collection tools within fifteen (15) business days of receipt. c. The State shall provide data collection tools for the CHT-MAT payments. The Grantee shall report practice changes (such as provider transitions or attrition) to the State and all payers (with the exception of Medicare) as they occur. The State reserves the right to require the Grantee to provide additional payment-related information or to require that the information described in this section be provided according to a different schedule.