2021 PCMH eligibility requirements

To be eligible to enroll in the Arkansas Blue Cross and Blue Shield patient-centered medical home (PCMH) program:

• The practice must include Primary Care Physicians (MD, DO) in the following specialties: Family Medicine, General Practice, Geriatric Medicine, Internal Medicine, or Pediatric Medicine; Primary Care Nurse Practitioners (APRN, APN, NP); Primary Care Physician Assistants (PA); or Primary Care Clinical Nurse Specialists (CNS), enrolled in the following networks: Arkansas Blue Cross and Blue Shield PPP, Health Advantage HMO, Arkansas First Source PPO or True Blue PPO, Medicare Advantage PFFS, PPO, HMO and Medicare Advantage Health Advantage HMO.

• The practice must use a certified, fully functional Electronic Health Record (EHR) accessible by all people involved in the patient’s care.

• The practice must complete the PCMH enrollment application.
• The practice must return contract amendments signed by each primary care provider (PCP) who provides primary care to patients at the PCMH clinic location.

For more information, see the Arkansas Blue Cross PCMH Provider Manual or contact the Primary Care Department at primarycare@arkbluecross.com.