Primary Care

Primary Care 2.0 Initiative

The goal of this value-based payment model is to simplify and integrate MaineCare's three primary care programs:

  • Primary Care Case Management (PCCM)
  • Primary Care Health Homes (HH)
  • Primary Care Provider Incentive Program (PCPIP)

For detail about this initiative, see the following presentations:

Provider Survey

If you would like to provide feedback on the Primary Care 2.0 proposal, please take our survey  If you missed the Provider Listening Session, please review the presentation above.

Primary Care Case Management (PCCM)

This program covers eligible MaineCare members, primarily those with full MaineCare benefits and MaineCare as their primary payer. Qualified 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

Primary Care Provider Incentive Payment (PCPIP)

The PCPIP pays additional compensation to PCCM providers who deliver high quality healthcare and who rank above the 20th percentile for certain measures compared to other physicians within their specialty.

Goals of PCPIP

  • Increase access of MaineCare members to providers
  • Reduce unnecessary or inappropriate Emergency Department utilization
  • Increase utilization of preventive/quality services

Incentives are paid to providers who practice primary care and whose primary specialty is Family Practice, General Practice, Pediatrics, Obstetrics/Gynecology, geriatric care, or Internal Medicine.

Primary Care Payment Increase

Questions? 

Email the PCCM Unit for questions.