Primary Care Case Management (PCCM)


MaineCare's Primary Care Case Management (PCCM) is a mandatory program covering eligible MaineCare members (primarily the TANF population ~ Temporary Aid for Needy Families). Primary care providers are always welcome to become PCCM providers.

Primary Objectives of PCCM

  • Recognize through incentive payments high quality primary care providers
  • Improve MaineCare members’ access to providers
  • Have MaineCare members establish a “medical home”
  • Increase continuity of care
  • Strengthen the patient and provider relationship
  • Reduce unnecessary utilization and expenditures

Please see these documents for more information:

Overview of Primary Care Case Management (PCCM) Word PDFs or Other
Primary Care Provider (PCP) Checklist (Word) (PDF)
Specialist Checklist (Word) (PDF)
Questions and Answers (Word) (PDF)
Referral Form (Word) (PDF)
Member Education Request Form (MERF) (Word) (PDF)
PCCM: What is it and what does it mean to me? (Member Information) (Word) (PDF)
Back to Top
How To Become a Primary Care Physician (PCP)
Terms and Conditions (Word) (PDF)
Rider (Word) (PDF)
Back to Top
Primary Care Provider Incentive Payment (PCPIP) Overview

The Primary Care Provider Incentive Payment (PCPIP) pays additional compensation to providers who deliver high quality healthcare to their patients and who rank above the 20th percentile for certain measures compared to other physicians within their specialty.

The goals of PCPIP:

(1) Increase access of MaineCare members to providers

(2) Reduce unnecessary/inappropriate ER utilization

(3) Increase utilization of preventive/quality services

Incentives are paid to providers who are practicing primary care and whose primary specialty is Family Practice, General Practice, Pediatrics, Obstetrics/Gynecology, or Internal Medicine . See below for more details.

Primary Care Provider Incentive Payment (PCPIP) Letters and Measures
PCPIP Sample Letter   (PDF)
PCPIP Quality Indicators (Word) (PDF)
PCPIP Overview (Word) (PDF)
Primary Care Provider Utilization Review (UR) Measures (Word) (PDF)
Back to Top


Note: If you can not read the above files you can use these links to access Word Viewer for Word files or Adobe Acrobat for PDF files or PowerPoint for PowerPoint files.

Questions? Email the PCCM Unit for questions about the project, upcoming events, and meetings.