July 24, 2018

MDPCP Practice Applications Open Aug. 1-31

Online applications for practices to apply to participate in the Maryland Primary Care Program (MDPCP) will open next Wednesday, August 1, and will remain open until Friday, August 31. 

Governor Larry Hogan, together with the Maryland Department of Health (MDH) and the Centers for Medicare and Medicaid Services (CMS), recently signed and enacted Maryland’s Total Cost of Care All-Payer Model, known as the “Maryland Model”. The announcement also included approval of the MDPCP, which will launch Jan. 1, 2019. 

The MDPCP is a voluntary program for primary care practices that provides financial and technical support to assist in the transformation to “advanced primary care.” Primary care has always been the foundation of care in Maryland. With this program, Maryland’s primary care providers can play an increasingly important role in improving health outcomes, while reducing unnecessary emergency department and hospital visits. 

Eligible primary care providers include physicians, clinical nurse specialists, nurse practitioners, and physician assistants in a primary care practice with a variety of specialty designations. Specialties include General Practice, Internal Medicine, Geriatric Medicine, Family Medicine, OB/GYN, and co-located Psychiatry.

To help practices prepare for the application, the Maryland Department of Health will be hosting a Practice Opportunity and Program Review Webinar this Thursday, July 26th, from 5-6pm. The presentation will provide an overview of the program, discuss the opportunities for practices, and provide a sneak peek at how to log into and navigate the online application portal.                             

Register here:

We encourage interested primary care practices to begin preparing for the application in advance.  Official requirements are available in the Request for Applications (RFA). For additional information, please view the practice resources on the MDH website. Questions may be sent to

July 18, 2018:
Employed physicians face unique stresses in practice as they often lack autonomy and influence over business decisions. Here are four ways to protect your well-being.

June 20, 2018:
Advocacy Update: Child-Adult Separation & Texas v United States
Update on two issues and the AAFP’s responses to both.

The first issue is the current situation whereby children, presenting at a US Port of Entry or a US Border, are apparently being separated from their parents or adult caregiver. This issue is garnering significant media coverage and has emerged as a prominent political issue in Washington, DC. On Saturday, June 16, the AAFP issued a statement on the issue. Our statement focuses on the wellbeing of the child/children and expresses our concerns that current practices may lead to consequential, negative impacts on those impacted. We are working on this issue both as the AAFP and in collaboration with other organizations. It is, at the present time, a white hot issue and a solution does not appear to be visible to the Administration or Congress. We will keep you updated, but please know that we share concerns and are eager to identify and promote a solution that prioritizes the welfare of the child/children above other issues.

The second issue involves a decision by the Administration whereby they will not defend the constitutionality of the Affordable Care Act during the consideration of Texas v United States. This is an unusual move on the part of the federal government, who as the defendant, has determined that it will not defend itself and essentially agree with the arguments presented by the plaintiff. The case brought forth by Texas and other states argues that the provisions established by the ACA are unconstitutional since Congress has repealed the individual mandate. The primary problem with this argument is that Congress has not repealed the individual mandate, they simply set the penalties at $0. The AAFP joined our Group of 6 partners in issuing a joint statement on the Administration’s decision.

R. Shawn Martin
Senior Vice President – Advocacy, Practice Advancement & Policy
American Academy of Family Physicians

June 12, 2018:
Maryland Primary Care Program: Request for Applications Released
The RFA for the MDPCP was posted on the CMS website on June 8, 2018. The RFA contains specific information on the application process and program requirements. Though dates are subject to change, the general order of events for MDPCP is as follows:

  • Care Transformation Organizations (CTOs) will submit electronic applications first; applications will be open June 8-July 23
  • CTOs will be selected during the first application period and posted to the CMS website
  • Practices will then submit electronic applications and have the option to select an approved CTO; practice applications will be open Aug. 1-Aug. 31
  • CMS agreements for program participation will be signed by both CTOs and practices later this fall
  • Selected practices and CTOs will begin in the program Jan. 1, 2019

Please see our timeline for a more detailed overview of the application and selection process.

May 22, 2018:
Maryland contingency with Senator Cardin











May 22, 2018:

2018 AAFP Vaccine Science Fellowship- Deadline: June 4, 2018. Learn more here.

May 18, 2018:

Key Element Of The Maryland Model—Maryland Primary Care Program—To Launch January 2019 
Program Supports the Delivery of Advanced Primary Care Allowing Providers Play an Increasingly Important Role in Improving Health Outcomes

Baltimore, MD (May 18, 2018) – Earlier this week, Governor Larry Hogan, together with the Maryland Department of Health and the Centers for Medicare and Medicaid Services (CMS), announced the federal approval of Maryland’s Total Cost of Care All-Payer Model, known as the “Maryland Model” contract. This innovative approach to health care provider payment is unique to Maryland and made possible via a contract between CMS and the state. The announcement also includes approval of the Maryland Primary Care Program (MDPCP), which will launch in January 2019.

The MDPCP is a voluntary program, open to all eligible Maryland Primary Care providers, that supports the delivery of advanced primary care throughout the state and allows providers to play an increasingly important role in improving health outcomes, while reducing unnecessary Emergency Department and hospital visits.

The MDPCP adds important care management tools for the primary care providers in Maryland, strengthening and transforming the delivery of Advanced Primary Care and Care Management as well as value-based bonuses. The program is also open to newly formed Care Transformation Organizations (CTOs) that provide Care Management support to practices.

“The Maryland Primary Care Program is a tremendous benefit to both patients and providers in Maryland and will ensure the highest level of care for patients who have the greatest need,” says Dr. Howard Haft, deputy secretary for Public Health Services at the Maryland Department of Health.  

The Request for Applications (RFA) for this program will be posted by CMS in early June 2018. 

In anticipation of the release of a formal RFA for MDPCP in the upcoming weeks, the Maryland Department of Health will be hosting a series of educational sessions to help potential applicants prepare for the program. For more information on MDPCP and a schedule of upcoming events, please visit our website.


Marylanders who need help finding substance related disorder treatment resources should visit, or call the Maryland Crisis Hotline, which provides 24/7 support, at 1-800-422-0009. If you know of someone who could use treatment for substance related disorders treatment facilities can be located by location and program characteristics on our page at   

The Maryland Department of Health is the State agency that protects Maryland’s public health. We work together to promote and improve the health and safety of all Marylanders through disease prevention, access to care, quality management, and community engagement. Stay connected: and ​

May 14, 2018:
2017 Maryland Maternal Mortality Review Annual Report

May 9, 2018: Family Physician Finds Antidote to Burnout in Innovation
The AAFP’s Alliance for e-Health Innovation is accepting applications for its Primary Care Innovation Fellowship. The 2017 fellow, Joey Nichols, MD, says innovation projects help him avoid burnout. Read More.


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