HEALTHmattersMD

Welcome to the HEALTHmattersMD blog—an online resource where providers can find the latest news and updates about HPSM. Top stories are highlighted with images, and you can find more stories listed under them. To read a story, just click the headline or the "Read more" link. In the side menu, you can also select articles by topic or see our newsletter archive and provider notices.

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HPSM’s New Incentive Payments Microsite

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HPSM’s New Incentive Payments Microsite

DON'T LOSE YOUR MEDI-CAL

HPSM’s New Incentive Payments Microsite

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HPSM’s New Incentive Payments Microsite

HPSM offers several payment incentive programs for primary care providers (PCPs), nursing facilities and specialists. Our new Incentive Payments microsite explains how to earn bonus payments by meeting specific performance measures.

  • PCPs treating Medi-Cal and CareAdvantage members can earn bonus payments through HPSM’s Benchmark Pay-for-Performance (P4P) Programs. Medi-Cal providers can also get up to 30% additional capitation for meeting panel engagement benchmarks. 
  • Nursing facilities can earn bonus payments through the Nursing Facility Quality Payment Program (NFQPP). Long-term care facilities can earn bonus payments through the Community Discharge and Retention Incentive for Long-Term Care. 
  • Specialists contracted through Medi-Cal, HealthWorx or CareAdvantage can earn payments equaling 175% of Medi-Cal allowable rates.

To learn how to earn bonus payments, visit our new Incentive Payments microsite. We will continue to update these pages with more content in the coming year. If you have any questions about our incentive payments programs, email PSinquiries@hpsm.org.