Provider Incentive Program Participants are Eligible for Certain Incentives

The 2016 WVFH Medicaid Incentive Program is structured to assess and improve the process of care for providers serving WVFH Medicaid Members using select West Virginia Bureau for Medical Services quality measures as the basis of clinical quality performance measurement.

PCPs participating in the incentive program will be eligible for incentive payments based upon the number of care gaps closed between January 1, 2016 and December 31, 2016.  Participants will earn an incentive care gap closure payment for each qualifying service completed for an eligible Member that is assigned to the Participant. There are eight (8) measures for which Participants are eligible for incentive care gap closure payments.
2016 WVFH Incentive Program Overview (PDF)
2016 HEDIS WVFH Withhold Measures Practice Reference Guide (PDF)
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