The PCMH incentive increase, approved in the NYS 2024 budget, provides $2 per member per month (PMPM) for adults and $4 PMPM for children under 21, retroactive to April 1, 2024, though payments have not yet been issued. Starting April 1, 2025, to continue receiving this increase, health centers must attest by March 31, 2025, that they have a workflow to refer patients to Social Care Networks (SCNs). SCNs will not verify these workflows.
To complete the attestation, visit this link and use the password NYSPCMH25. Each physical site must complete an attestation, but multiple sites can be submitted simultaneously. If submitted after March 31, payments will begin the following month (e.g., submitting on April 15 means increased payments restart in May 2025).
Retroactive payments for the 2024 increase are expected in spring 2025 and will cover the period from April 1 to December 31, 2024.
For more details, visit: CHCANYS PCMH Increase & Attestation Requirements.