PRIME Audits

The Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program is a pay-for-performance program and part of the Medi-Cal 2020 waiver approved by CMS in December 2015. The PRIME program is organized into three domains, with projects under each domain and individual metrics in each project:


  • Domain 1: Outpatient Delivery System Transformation and Prevention.
  • Domain 2: Targeted High-Risk or High-Cost Populations.
  • Domain 3: Resource Utilization Efficiency.

    There are two types of participating PRIME entities: Designated Public Hospital (DPH) systems and District/Municipal Public Hospitals (DMPH). Refer to the PRIME Entities for a complete list. As explained under other sections, Aqurate has several years of experience in conducting these type of audits. To learn more about Aqurate Health Data Management’s services or to request for a proposal for PRIME audits, please Contact Us