Primary Care Value-Based Payment Program

HPSM's Primary Care Value-Based Payment program offers performance bonus payments to in-network primary care 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.

For questions on this program, or how to participate in the review process in partnership with HPSM, please contact HPSM Provider Services at PSInquiries@hpsm.org.

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.


Additional Resources


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 Medi-Cal Benchmark P4P Program Guidelines above.

Primary Care Medi-Cal P4P Program (12/06/2019)

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 Medi-Cal Benchmark P4P Program Guidelines above.

Primary Care Medi-Cal Benchmark P4P Program Overview (4/25/2018)

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 most recent CareAdvantage Benchmark P4P Program Guidelines above.

Primary Care CareAdvantage P4P Program (12/13/2019)

P4P Forms

Give us your feedback!

Please send us your questions or comments on the Medi-Cal Primary Care and/or CareAdvantage Primary Care Value-Based Payment Program Guidelines.

Go to the Feedback Form