Attention Primary Care Plus (PCPlus) Practices - PCPlus Application and Recertification Opening – Required for all PCPlus Practices

Mar 29, 2024

MaineCare Services is pleased to announce that the PCPlus application period is now open. The open application period runs through Friday, May 3, 2024. 

PCPlus is a MaineCare primary care model that gives Primary Care Provider (PCPs) greater flexibility and incentives to meet MaineCare members’ healthcare needs by transitioning away from a volume-based (fee-for-service) payment system toward population-based payments tied to cost and quality-related outcomes. Participation in PCPlus is voluntary for PCPs, and PCPs must apply to participate.    

There are three types of applications:   

Option 1: PCPlus Recertification Application - This abbreviated application is for existing PCPlus providers to recertify as a PCPlus provider. This application MUST be completed by ALL PCPlus enrolled providers in order to continue as a PCPlus enrolled provider. A PDF version of the application is available.   

Option 2: PCPlus Tier Advancement Application - This abbreviated application is for existing PCPlus providers who believe they now meet qualifications for a higher tier. Practices must complete this application IN ADDITION TO the Recertification Application if you feel your practice now qualifies for a different tier. A PDF version of the application is available.    

Option 3: Full PCPlus Application – This application is for providers who are not currently enrolled in PCPlus and are seeking to become a PCPlus provider. The annual enrollment start date is July 1, 2024. A PDF version of the application is available.   

PCPlus applications must be submitted at the service location-level. For organizations with multiple locations, a separate application must be submitted for each service location. This requirement is also for Recertification Applications.   

More information about PCPlus:    

• The PCPlus policy is available here.  For additional information about the PCPlus program, visit the Primary Care webpage.    

• Questions can be sent to PCP-Network.Services.DHHS@maine.gov