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Get the free HMSA PCMH LEVEL VERIFICATION FORM - HMSA.com

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1178-0018 2013 PCM Level Verification Form F HSA PCM LEVEL VERIFICATION FORM INSTRUCTIONS: Please complete this form when your physicians have fulfilled all PCM requirements to advance levels (e.g.,
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HMSA PCMH Level Verification is a process conducted by HMSA to verify that a primary care practice meets the Patient-Centered Medical Home (PCMH) criteria.
Primary care practices that wish to be recognized as PCMHs and receive the associated benefits are required to file HMSA PCMH Level Verification.
To fill out HMSA PCMH Level Verification, primary care practices need to complete the designated form provided by HMSA. The form requires information about the practice's policies, procedures, and capabilities to meet the PCMH criteria.
The purpose of HMSA PCMH Level Verification is to ensure that primary care practices have implemented the necessary systems and processes to provide high-quality, comprehensive, and coordinated care to patients.
The information required to be reported on HMSA PCMH Level Verification includes details about the practice's care coordination, access to care, population health management, patient engagement, and continuous quality improvement.
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