Attention Primary Care Plus (PCPlus) Practices – The Final Week for All PCPlus Practices to Re-Certify or Apply Approaches
As aÌýreminder, the PCPlus application period is currently open.ÌýThe open application period runs through Friday, May 3, 2024.Ìý
PCPlus is a fb88Care primary care model that gives Primary Care Providers (PCPs) greater flexibility and incentives to meet fb88Care members’ healthcare needs. PCPlus transitions away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes. Participation in PCPlus is voluntary for PCPs, and PCPs must apply to participate.ÌýÌýÌý
There are three types of applications:ÌýÌý
Option 1:ÌýÌý- This abbreviated application is for existing PCPlus providers to recertify as a PCPlus provider.ÌýThis application MUST be completed by ALL PCPlus enrolled providers in order to continue as a PCPlus enrolled provider. AÌýPDFÌýÌýversion of the application is available.ÌýÌý
Option 2:ÌýÌý- This abbreviated application is for existing PCPlus providers who believe they now meet qualifications for a higher tier. Practices must complete this applicationÌýIN ADDITION TOÌýthe Recertification Application if you feel your practice now qualifies for a different tier. AÌýPDF versionÌýof the application is available.ÌýÌýÌý
Option 3:ÌýÌý– This application is for providers who are not currently enrolled in PCPlus and are seeking to become a PCPlus provider. The annual enrollment start date is July 1, 2024.ÌýAÌýPDF versionÌýof the application is available. Ìý
PCPlus applications must be submitted at the service location-level. For organizations with multiple locations, a separate application must be submitted for each service location. This requirement is also for Recertification Applications.ÌýÌý
More information about PCPlus:ÌýÌýÌý
- The PCPlus policy is availableÌý.ÌýFor additional information aboutÌýtheÌýPCPlusÌýprogram, visit theÌýPrimary Care webpage.ÌýÌýÌý
- Questions can be sent toÌýPCP-Network.Services.DHHS@maine.gov.