Centers for Medicare and Medicaid Services

Jul 13, 2017

844.442.2672
CPCplus@cms.hhs.gov

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.

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.

Available in 16 states

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.

Links to additional guidance are available on the program website.

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

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