Updated 2024 PIP Manual now available

We recently updated our 2024 PCP Incentive Program (PIP) manual (login required).  

To access the manual after logging into your account through the link provided, click PCP Incentive Program in the menu then click the Get the 2024 PIP Manual button. You can then bookmark the manual URL in your browser for quick access. 

Here’s a summary of the changes: 

Administrative details (pg. 7) 

Under the ACN payment rules section, we clarified that discrepancies with settlement payments must be brought to Priority Health’s attention within two weeks of the ACN receiving settlement reporting.

Care management (pg. 15) 

We expanded our definition of the staff who can provide care management services under the supervision of a PCP. This change aligns with industry standards and will make it easier for ACNs to meet the CM measure’s requirements.

• Qualified Health Professional (QHP) definition and licensure requirements have been removed.
• Initial and continuing education requirements are still required for clinic staff on the care team who are providing care management services.