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2025 OHIC PCMH Quality Measures and Integrated Behavioral Health Reporting

Practice Information

Practices required to submit data:

  • All practices are required to submit basic information about their practice, indicate their Practice Transformation status, and answer the Behavioral Health Integration survey questions.  
  • Only practices not participating in at least one commercial ACO population-based contract in 2025 and not part of an FQHC-based AE in 2025 must complete the PCMH Quality Measures component of the survey.
    • If practices are affiliated with any of the following ACOs/AEs, they are waived from the PCMH Quality Measures component of the survey:
      • Astrana Health (formerly, Prospect)
      • Blackstone Valley Community Health Center
      • Brown University Health
      • Integra
      • Integrated Care Partners
      • Providence Community Health Centers
      • RIPCPC
      • Thundermist Health Center
    • The following practices must complete the PCMH Quality Measures component of the survey:
      • Suthcoast Accountable Care Organization practices
      • Practices not affiliated in 2025 with an ACO/AE
General Instructions:

If you are entering in information for five practice sites or fewer, please continue with this survey. Practices should submit data for the January 1, 2025 - December 31, 2025 performance period. Practices should only submit data for an alternate performance period they are unable to pull data for the desired period. Further, practices will be sent a PDF of their submission after completing the survey. Practices will be unable to save partially complete surveys, so practices should gather all of the needed data before entering their survey response.

If you are entering in information for more than five practice sites, you have two options:
  1. Fill out the survey as many times as needed in order to enter in information for all practice sites (e.g., a seven-site practice can fill the survey out twice and include data for five sites the first time and two sites the second time), or
  2. Contact Charlie Estabrook at OHIC (charles.estabrook@ohic.ri.gov) for an Excel template to use to fill in in lieu of this survey.
  • In 2025, OHIC has made the following changes to this survey: (1) shifted the survey due date from October (2025) to January (2026), (2) updated the measurement period for quality measures for this year and future years from October 1 – September 30 to January 1 – December 31, and (3) updated measure specifications and dates to align with the national versions of all measure specifications.
  • Please note that Glycemic Status Assessment for Patients with Diabetes (<8.0%) will remain a reporting-only measure in 2025 because of significant specification changes in 2024.
Practices can apply telehealth encounters for numerator compliance or for identifying patient populations (denominator compliance), even if the specification says otherwise, when reporting data for the PCMH Measure Set.  Practices, however, are not required to include telehealth encounters when reporting data. 
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