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TO: Participating Alabama Coordinated Health Network Primary
Care Physician Groups
RE: Increase to the Alabama
Coordinated Health Network
(ACHN) Bonus Payment Pool for Fiscal Year 2025
The Alabama
Medicaid Agency Fiscal Year (FY) 2025 Alabama Coordinated Health Network (ACHN)
bonus payment pool has increased from $15 million to $20 million. Effective with the April 2025 bonus distribution,
bonuses will be distributed based on the new $20 million bonus pool. Missed payments
for October 2024 and January 2025 are scheduled to be made during the second
quarter of FY 2025 (between January 1, 2025 – March 31, 2025) for actively
participating ACHN PCP groups. The reserve fund of $400,000 annually remains
the same as illustrated below in the chart. See below chart for FY 2025
quarterly bonus pool payments.
The bonus pool
amount will fund three (3) Bonus Payments for eligible Participating PCP
Groups. The Bonus Payment Pool is allotted as follows:
·
50% for Quality
·
45% for Cost Effectiveness
·
5% for PCMH Recognition
Other important facts:
·
Active participation with the ACHN is still
required to qualify
for the bonus payments.
·
The presented changes
will not affect
the bonus payment
calculation schedules.
·
PCP groups are not required
to take any necessary actions
related to the presented changes.
·
The ACHN bonus payment will
continue to be distributed on the second or third checkwrite of the first month
of the quarter unless otherwise noted.
·
The presented changes
will not affect the enhanced
ACHN participation rates.
·
The presented changes
will not affect the Maternity Care Provider (MCP) bonus
payments.
For questions
related to the ACHN bonus
payment changes, you may e-mail ACHN@medicaid.alabama.gov.
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