Important OHIC Reminder Regarding RI Patient-Centered Medical Home

The Rhode Island Office of the Health Insurance Commissioner (OHIC) has issued an important reminder for primary care practices to apply for RI Patient-Centered Medical Home status. All primary care practices (adult, family, pediatric), including PCMH Kids Cohort 3 practices are responsible for completing the practice surveys by Friday, October 15. Documentation, including links to the practice surveys and measure specifications, are located on the OHIC website. Primary care practices that meet the 3-part definition of PCMH will be eligible for sustainability payments from the commercial health plans. PCMH Kids practices are additionally eligible for sustainability payments from Medicaid health plans.

Please note: For 2021, OHIC has modified its methodology for assessing practice performance against the PCMH Measure Set due to the anticipated ongoing impact of COVID-19 on quality measure performance. Practices must meet a high-performance benchmark (which has been adjusted to account for COVID-19) or demonstrate improvement over the October 1, 2018 - September 30, 2019 time period.

October 15 Deadline for OHIC Integrated Behavioral Health (IBH) Practice Reporting Survey

CTC-RI would like to remind all IBH practices of the upcoming deadline for completing the OHIC’s IBH Reporting Survey. Practices must complete this survey annually (Due: Oct 15, 2021) in order to be recognized by OHIC as a qualifying IBH practice, and eligible for IBH benefits identified in the OHIC Affordability Standards. The survey can be found online here: 2021 OHIC PCMH Quality Measures and Integrated Behavioral Health Reporting.