Central California Alliance For Health

 

What's New for CBI 2019

New Fee-For-Service (FFS) Measure


eConsult: The linked PCP requesting an eConsult from an Alliance contracted vendor will receive $20 per eligible eConsult. Incentives will be paid per claim or invoice.


Programmatic Measure Changes


Measure Methodology Change:
Post-Discharge Care minimum member requirement changed from 5 members with inpatient admissions to 5 linked members.


Measure Name Change:


Measures Moved from Provisionary to Programmatic:


2019 Provisionary Measures


The following measures will not qualify for payment in 2019; they will be monitored and considered for payment in the 2020 CBI program. Providers will receive quarterly rates and can monitor their performance in preparation for payment in 2020.

Formulary Medication Utilization: Basaglar
Formulary Medication Utilization: Air Duo

Discontinued Measures


Diabetic Testing for HbA1c
Annual Monitoring for Members of Persistent Medications

New Member Incentives


Immunizations: Adolescents - Members will be entered into a raffle for $50 gift card when providers submit a claim and/or update the immunization registry showing their adolescent patients received their required vaccines by the 13th birthday.


Immunizations: Children - Members will be entered into a raffle for $100 gift card when providers submit a claim and/or update the immunization registry showing their toddler patients received their required vaccines by the 2nd birthday.

 




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