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Prior authorization is the process insurance companies use to confirm that a drug is truly medically necessary

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For example, project requirement one of Project 2.a.ii: Increase Certification of Primary Care Practitioners with PCMH Certification and/or Advanced Primary Care Models (as developed under the New York State Health Innovation Plan (SHIP)), has been updated to the following: Ensure that all eligible PCPs participating in the PPS achieve recognition for either NCQA 2014 Level 3 PCMH accreditation or for the NYS Advanced Primary Care Model meeting DSRIP standards by the end of DY3

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