Primary Care Case Management

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

  • 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.

Questions? 

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