Skip to main content

Comprehensive Primary Care Plus (CPC+) Model

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Sponsor
Centers for Medicare and Medicaid Services
Deadlines
Jul 13, 2017
Contact
844.442.2672
CPCplus@cms.hhs.gov
Purpose

Comprehensive Primary Care Plus (CPC+) is an advanced primary care medical home model designed to strengthen primary care through a regionally-based multi-payer payment reform and care delivery transformation. The goal of CPC+ is to improve the quality of care, improve patients’ health, and spend healthcare dollars more wisely.

Participating practices will fall within two tracks. Each track will implement CPC+ Practice Care Delivery Requirements in the following primary care functions:

  • Access and continuity
  • Care management
  • Comprehensiveness and coordination
  • Patient and caregiver engagement
  • Planned care and population health

Participants in this round will begin January 1, 2018.

Eligibility

Eligible applicants are primary care practices located in the 14 regions as described in the CPC+ Participating Regions list.

Specific eligibility requirements for participation in each track may be found in the application instructions.

Geographic coverage
Available in 16 states
Amount of funding

CPC+ includes three payment elements:

  1. Care management fee - paid quarterly to both Track 1 and Track 2 participants and adjusted to account for the intensity of care management services required for the specific population served by each practice
  2. Performance-based incentive payment - based on performance in patient experience, clinical quality, and utilization measures
  3. Payment under the Medicare Physician Fee Schedule
    • Track 1 participants continue to bill Medicare Fee for Service (FFS) as usual.
    • Track 2 participants continue to bill as usual, but the FFS payment will be reduced to account for shifting a portion of Medicare FFS payments into Comprehensive Primary Care Payments (CPCP), which will be paid quarterly in a lump sum.
Application process

Links to additional guidance are available on the program website.

Applications must be submitted online through the CPC+ Information System.

Tagged as
Medical homes · Medicare · Primary care · Reimbursement and payment models · Arkansas · Colorado · Hawaii · Kansas · Kentucky · Michigan · Missouri · Montana · New Jersey · New York · Ohio · Oklahoma · Oregon · Pennsylvania · Rhode Island · Tennessee



For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.