Maryland Primary Care Program
Updated: July 2020
MARYLAND PRIMARY CARE PROGRAM
The State of Maryland has entered into a Total Cost of Care All-Payer Model contract with the Federal Government that is designed to coordinate care for patients across both hospital and non-hospital settings, improve health outcomes, and constrain the growth of health care costs in Maryland. A key element of the model is the development of the Maryland Primary Care Program (MDPCP). MDPCP is a voluntary program open to all qualifying Maryland primary care providers that provides funding and support for the delivery of advanced primary care throughout the state. The MDPCP supports the overall health care transformation process and allows primary care providers to play an increased role in prevention, management of chronic disease, and preventing unnecessary hospital utilization.
The Maryland Department of Health (MDH) has worked closely with the Centers for Medicare and Medicaid Services (CMS) to establish the MDPCP. The Program Management Office (PMO) within MDH’s Public Health Services is responsible for implementing this innovative health care transformation program in conjunction with the Center for Medicare and Medicaid Innovation (CMMI). The material presented herein provides additional descriptions and resources regarding the MDPCP.
As of January 2020, CareFirst has joined the program as an aligned payer. The following Comparison Table provides a summary of the key differences between Medicare MDPCP and CareFirst’s aligned Patient Centered Medical Home (PCMH) program.
The application period for both practices and CTOs to apply to participate in the MDPCP for the 2021 Performance Year is now closed. Applicants that submitted applications in Summer 2020 will be notified of CMS’ decision in Fall 2020. Interested applicants who wish to apply to participate in the 2022 performance year may do so during the open application period in Spring/Summer 2021. Please visit our Application Page for more details.
CMMI has released a list of practices that have been accepted into the program. Please view the full list to confirm your practice’s status.
Accepted practices should have already received a series of emails from CMMI regarding next steps and onboarding materials. If you do not see your practice ID listed, you should assume your practice site’s application has been deferred for 2019 program participation. Deferred practices will receive a letter from CMMI in mid-December confirming their deferral status and a brief acknowledgment of why their application did not meet requirements. In early 2019, the State will reach out and engage with deferred practices regarding how to prepare to re-apply for upcoming Performance Years. For further questions about your application, please reach out to CMS at MarylandModel@cms.hhs.gov.
Accepted practices should have received several email communications from CMMI detailing next steps. Practices should check their spam folders and make sure MarylandModel@cms.hhs.gov is added to their safe senders list. Please keep an eye on your inbox for important emails regarding the specific items below.
For a detailed overview of upcoming program milestones, please see our updated timeline.