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Understanding NCQA PPC-PCMH Scoring and Must-Pass Elements

This guide provides an overview of the NCQA PPC-PCMH scoring system, which is composed of nine standards totaling 100 points. It highlights the importance of ten "Must Pass" elements linked to levels 1, 2, or 3. A practice must achieve a minimum number of points and pass a set number of these essential elements to be recognized. If there's a disparity between the points scored and the Must Pass elements met, the practice will be assigned the lower level. Practices scoring 0 to 24 points or with less than five Must Pass elements will not achieve recognition.

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Understanding NCQA PPC-PCMH Scoring and Must-Pass Elements

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  1. NCQA PPC-PCMH Content and Scoring **Must Pass Elements

  2. NCQA PPC-PCMH Scoring • 9 standards = 100 points • 10 Must Pass elements linked to Level 1, 2 or 3 Levels: If there is a difference in Level achieved between the number of points and “Must Pass”, the practice will be awarded the lesser level; for example, if a practice has 65 points but passes only 7 “Must Pass” Elements, the practice will achieve at Level 1. Practices with a numeric score of 0 to 24 points or less than 5 “Must Pass” Elements are not Recognized.

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