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Alliance for Better Health Innovation Fund Application

Alliance is committed to supporting our partners as they work to collectively achieve DSRIP performance measurement targets. 

If your organization is able to make a meaningful impact on one or more performance measures, but requires start-up funds to initiate the activity or project, please complete the questions below. 
This question requires a valid email address.
This question requires a valid number format.
5. Do you need any of the following resources to begin your initiative? *This question is required.
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10. Please indicate below which Claims Based Measure(s) you have selected as a goal for your activity or project. Select all that apply. 
11. Please indicate below which Non-Claims Based Measure(s) you have selected as a goal for your activity or project.
This question requires a valid date format of MM/DD/YYYY.
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18. Which of the following PPS(s) do you partner with?