The 2024 Pay for Performance Program
The YouthCare Pay for Performance (P4P) Program is a pay-for-performance incentive program for our contracted providers. We reward our partners in care for delivering quality preventive healthcare services such as immunizations for children and adolescents and well-child visits to members.
The following grid is a quick reference to the 2024 YouthCare P4P incentives for Primary Care Providers (PCPs). Please contact your Meridian Provider Relations Representative at ILProviderRelations@mhplan.com or our Provider Services Department at 866-606-3700 with questions. PCPs can also login to the secure provider portal to view updated performance data, target percentile status, and payments earned year to date.
Incentives are paid after completion of all qualifying services in compliance with HEDIS® 2024 guidelines. A complete list of covered codes for these measures can be found within the HEDIS Quick Reference Guide 2024 on the YouthCare website. The incentive is paid to the Primary Care Provider at the Provider TIN level. YouthCare maintains the right to modify or discontinue the P4P Program and will notify providers of any changes or incentive program alterations.
Measure Abbreviation | Measure Name | Target 1 | Payment 1 | Target 2 | Payment 2 |
|---|---|---|---|---|---|
CIS – Combo 10 | Childhood Immunization Status – Combination 10 | 38.00% | $20.00 | 46.00% | $40.00 |
IMA – Combo 2 | Immunizations for Adolescents – Combination 2 | 41.00% | $20.00 | 49.00% | $40.00 |
WCC – BMI | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents – BMI Percentile | 86.00% | $10.00 | 90.00% | $20.00 |
WCC – Nutrition | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents – Nutrition Counseling | 78.00% | $10.00 | 84.00% | $20.00 |
WCC – Physical Activity | Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents – Physical Activity | 76.00% | $10.00 | 82.00% | $20.00 |
WCV | Child and Adolescent Well-Care Visits | 56.00% | $15.00 | 62.00% | $30.00 |