Upcoming deadlines for the 2026 PIP program

By October 15, 2026: ACNs/Account Coordinators must verify and attest PCMH designations for all participating PCPs in the PRA tool. Review pages 10-11 of the 2026 PRA Manual for batch upload instructions. PCPs not reported as PCMH-designated by the November attestation period (closes October 15) will be automatically removed from Care Management and Behavioral Health Collaborative Care incentive measures at year-end settlement, affecting both numerator and denominator calculations. By November 1, 2026: Billing and data management teams must submit ALL supplemental data for dates of service January 1 – June 30, 2026, through all applicable channels (MiHIN, APS, HL7, EPP digital submission, or medical records via fax/mail/SharePoint). If experiencing SharePoint access issues, email HEDIS@priorityhealth.com immediately. Exception: blood pressure and HbA1c results may be submitted anytime regardless of date of service. By November 16, 2026: ACNs must organize all PCPs by practice location using the PRA tool's subgroup feature by the December attestation period (closes November 16). Any PCP not assigned to a subgroup at this deadline will be excluded entirely from 2026 PIP settlement calculations. Consequences: Non-compliance will result in (1) loss of incentive eligibility for specific quality measures, (2) exclusion from settlement payments, and (3) potential removal of providers from the program.