Adult Care – Diabetes: Obtaining Diabetes Care Recognition

Diabetes Recognition Grid

NCQA or BTE outcomes – Level 1 Good
NCQA or BTE outcomes – Level 2 Better
BTE outcomes – Level 3 w/ sample population Better
BTE outcomes – Level 3 w/ full population Best

Note: To achieve a Good, Better, or Best rating on www.getbettermaine.org a practice must achieve either a group level recognition, or 3/5 (60%) of the eligible providers in the practice must receive individual recognition.

NCQA Diabetes Recognition Program (DRP)

Note: Practices participating in NCQA recognition programs for either the Patient-Centered Medical Home Pilot or for PTE reporting are eligible for a discount code.  Please contact pte@mehmc.org to obtain the code.

The NCQA Diabetes Recognition Program is designed to recognize clinicians who use evidence-based measures and provide excellent care to their patients with diabetes.  The program is comprised of eleven measures that cover areas like HbA1c control, blood pressure control, LDL control, eye examinations, and others.

Clinicians that are eligible for the NCQA DRP will abstract data from the charts of diabetes patients (25 patients minimum for a single applicant), and will submit the data to NCQA through their electronic medical record for review.   Once the practice receives recognition, that rating will be good for three years.

Costs for the DRP vary depending on the number of providers in a practice, but they range from $500 for a practice with 1 provider to $3,000 for a practice with 8-100 providers.  A 20% discount is available for practices that are sponsored by health plans, employers, and other programs.

For more information on NCQA’s Diabetes Recognition Program, click HERE.

BTE Diabetes Care Recognition Program (DCRP)

Like the NCQA DRP, the BTE Diabetes Care Recognition program is designed to recognize clinicians who use evidence-based measures and provide excellent care to their patients.  The program is comprised of eight measures that cover areas like blood pressure control, LDL control, HbA1c control, and documented ophthalmologic exams.

Clinicians that are eligible for the BTE DCRP will abstract data from the charts of diabetes patients (25 minimum for a single applicant and 10 per clinician for a group level application*), and will submit the data through their electronic medical records for review.

For more information on BTE’s Diabetes Care Recognition Program, click HERE.

*Although group level applications require only 10 patient charts per clinician, each clinician in the group must have an average of 25 patients with diabetes