Transition Allowance

1. The transition allowance is available to provide financial support for physicians currently using a physician office system solution who transition from their current physician office system solution to one of the VCUR 2008 physician office system solutions from a qualified service provider (QSP) and who achieve Milestone 2 POSP Approved Project Plan (as defined in the Administration Requirements for Invoice-Based Reimbursement). This allowance is provided under the condition that the physician was using a physician office system and not using paper charts as of April 1, 2008.

2. Any physician currently using a physician office system solution from a non-QSP where the physician implemented that physician office system before April 1, 2008, who transitions to a VCUR 2008 physician office system solution from a QSP is eligible for an allowance of $20,000.

3. Any physician currently using a physician office system solution from a QSP who transitions to a VCUR 2008 physician office system solution from a different QSP where the transition is required to align to a decision by a Primary Care Network (PCN) or Community of Practice (CoP) to adopt a single physician office system solution is eligible for an allowance of $20,000.

4. Any physician currently using a physician office system solution from a QSP where the physician implemented that physician office system solution before April 1, 2008, and who then transitions to the VCUR 2008 physician office system from the same QSP is eligible for an allowance of $5,000.

5. The transition allowance may subsequently be modified by the Physician Office System Program (POSP) Committee based on experience and evidence concerning the impact on the physician and his/her practice.

6. Payment of the transition allowance from POSP to the physician will be aligned with the vendor milestone payment plan as defined in the Administration Requirements for Invoice-Based Reimbursement section, provided that the specific milestone is achieved within one year of Milestone 2 and is on or before March 31, 2011. The Transition Allowance Reimbursement will be made as follows:

a. 25% of allowance paid at Milestone 2 - Initial Project Review, Approved Project Plan signed.

b. 50% of allowance paid at Milestone 3 - Go-Live Completed, Warranty Period Commences.

c. 25% of allowance paid at Milestone 4 - First Implementation Status Review Completed.

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