DOH: 2021 MLTC VBP Quality Measures May Likely Only Include PAH Calculation

Situation Report | June 1, 2021

The state Department of Health has updated the 2021 MLTC Value Based Payment (VBP) Quality Measure Sets available on the VBP Resource Library webpage 

The following has been added:  

Please note: Due to COVID-19 and the Department’s continued suspension of Community Health Assessments for reassessment of MLTC enrollees during the current public health emergency, the calculation of the MLTC VBP Category 1 measures, except for the Potentially Avoidable Hospitalization (PAH) measure, will likely not be possible for 2021. As a result, both parties, plan and provider, should pre-plan how to evaluate VBP contracts should only PAH be available. 

The 2021 MLTC VBP Quality Measure Sets can be found on the VBP Resource Library web page, under the VBP Quality Measures subheading and the selection Measurement Year 2021. 

For questions regarding the 2021 Quality Measure Sets, contact