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What is the full name of the PRIME program?

The California Public Hospital Redesign and Incentives in Medi-Cal (PRIME) Program

PRIME is built upon what program?

Delivery System Reform Incentive Payment (DSRIP) Program under the Bridge to Reform waiver

What is the first PRIME goal?

To increase the PRIME entities' ability to provide patient-centered, data-driven, team based care to high utilizers and those at risk of becoming high utilizers.

What is the second PRIME goal?

To improve the PRIME entities' capacity to provide point-of-care services, complex care management, and population health management by strengthening their data analytical capacity.

What is the 3rd goal of PRIME?

To improve population health and health outcomes for Medi-Cal beneficiaries, as demonstrated by the achievement of performance goals related to clinical improvements, preventative interventions, and patient experience metrics.

What is the 4th goal of PRIME?

To improve participating PRIME entities' ability to provide high quality care that integrates physical and behavioral health and coordinates care across different settings.

Where do the PRIME funds originate from and what's the pay out timeline?

Federal Medicaid funding over 5 years.

How does the funding occur in PRIME?

The states share of the Medi-Cal funding is furnished by Intergovernmental transfers (IGTs.)



IGTs are transfers of public funds between government entities.



SVMC transfers funds to the state for the purpose of accessing federal Medicaid matching funds.



Once the Federal Government matches the funds via IGT to the state, the state then performs an IGT back to SVMC.

IGTs are involved

When was Demonstration Year 11 (DY 11?)

7/1/2015 through 6/30/2016

Same as fiscal year 2016