Thank you for being a participating Jefferson Health Plans provider. We have successfully completed another year of the Maternity Quality Care Plus (MQCP) program, which is designed to recognize and reward your practice’s performance throughout the year. Below is an overview of changes made to the program, effective for the January 1, 2024 through December 31, 2024 measurement period.

Performance and Monitoring Measure Changes

• To qualify for any incentive payment in MQCP,maternity care practices must have at least 20 deliveries in the reporting period.
• The Cesarean Section Rate measure will be removed from MQCP. Jefferson Health Plans will use the savings from this measure toward a new incentive focusing on the two priority, DHS-required measures — Timeliness of Prenatal Care and Postpartum Care.
• A new improvement incentive will be offered to practices that achieve a 5% improvement compared to their own baseline rate (MY2023 rate) for Timeliness of Prenatal Care and Postpartum Care measures.
  • Practices are eligible to earn a $5 PMPM incentive for either or both measures, depending on performance.
  • To be eligible for the improvement incentive, practices must have qualified for MQCP during the previous measurement period (MY2023).
  • Jefferson Health Plans will continue to offer a bonus payment for meeting Tiers 1 and 2 on the following disparity measures for African American members:
    • Timeliness of Prenatal Care
    • Postpartum Care

These bonus payments are in addition to the payments received for measures covering the entire population.

• Prenatal Immunization Status will be removed as a monitoring measure and from MQCP report cards. Jefferson Health Plans will continue to include only SDOH as a monitoring measure during measurement year 2024.

Additional Information

Your Network Market Manager will work with you to ensure you understand these changes and answer any questions. Visit HPPlans.com/MQCP to view the most recent MQCP Manual and Pregnancy Hot Topics and Resources guide.

As always, thank you for your hard work and dedication to improving the health of our members.