Pay for Performance

HPSM's Pay for Performance program offers performance bonus payments to in-network providers for meeting targeted quality measures. The program is designed to improve outcomes by sharing data with HPSM providers on care information for their assigned HPSM patients. The targeted quality performance measure set focuses on member access and preventive care services.

Guidelines & Measures

Medi-Cal Primary Care

Review descriptions of individual measures, specific requirements, and required forms and CPT codes to receive incentives for Medi-Cal members.

CareAdvantage Primary Care

Review descriptions of individual measures, specific requirements, and required forms and CPT codes to receive incentives for CareAdvantage members.

Give us your feedback!

Please send us your questions or comments on the (DRAFT) P4P Medi-Cal and/or CareAdvantage program guidelines.

Go to the Feedback Form


Additional Code Resources

The code lists below apply to both CareAdvantage Primary Care and Medi-Cal Primary Care.


Report Specifications


Webinars

Medi-Cal 2020 Primary Care Benchmark P4P Program Webinar December 6, 2019

Please note: program measures have been updated since the time of this webinar. For updated measure information please refer to the DRAFT - Medi-Cal 2020 Benchmark P4P Program Guidelines above.

Primary Care Medi-Cal P4P Program Webinar

Medi-Cal 2019 Primary Care Benchmark P4P Program Webinar April 25, 2018

Please note: program measures have been updated since the time of this webinar. For updated measure information please refer to the DRAFT - Medi-Cal 2020 Benchmark P4P Program Guidelines above.

Benchmark P4P Webinar

CareAdvantage 2020 Primary Care P4P Program Webinar December 13, 2019

Please note: program measures have been updated since the time of this webinar. For updated measure information please refer to the DRAFT - CareAdvantage 2020 Benchmark P4P Program Guidelines above.

CareAdvantage 2020 Primary Care P4P Program Webinar

P4P Forms