Comprehensive Primary Care (CPC) Program Background

CPC is an attribution based program through Ohio Department of Medicaid (ODM) that emphasize primary care to support improved population health outcomes. This is done by a team-based care delivery model led by a primary care practice that comprehensively manages a patient’s health needs with the goal of improving quality of care and lowering costs by empowering practices to deliver the best care possible. Successful participation in the CPC program leads to a Per-Member Per-Month (PMPN) quarterly payment.  Below are resources that provide more specific background on the program.

ODM’s Comprehensive Primary Care Overview

Per‐Member Per‐Month (PMPM) Payment Definition and Methodology

Definitions and Calculations Applicable to Payment Methodologies

CPC FAQ

CPC Kids Background

ODM Hosted CPC Webinars

Enrollment

Each year organizations must enroll between October 1 and October 31 for participation in the CPC program for the following year. This is done through the ODM PNM system. Linked below is background and resources for 2024 enrollment.

Learn More about CPC 2024 Enrollment

CPC Activity Metrics

There are three main requirements that practices must agree to, in order to participate in the CPC program: 1) attesting to meeting a set of activity requirements, 2) a commitment to sharing data with payers and ODM, and 3) participating in learning activities as determined by ODM. Practices are also assessed against clinical quality and efficiency requirement metrics. ODM also requires participation in a yearly desk review to ensure activity metrics are being met.  Linked below are the different CPC activity metrics that are looked at.

CPC & CPC Kids Activity Metrics with Definitions

Partners For Kids Support in the CPC Program

Partners For Kids wants to support contracted practices who are enrolled in the CPC program as there is a high amount of alignment between the Partners For Kids program and CPC. Below are resources contracted Partners For Kids practices can utilize.

1. Information Hub – Partners For Kids can serves as a point of reference for questions on the CPC program as we have built up our knowledge and connections in the program.
2. MCO Resource Guide
3. Connect to practices to MCO – Partners For Kids can connect practices to MCO for further assistance in the CPC program, help with building out activity metrics and questions about CPC payment.
4. CPC Dashboard – Partners For Kids is currently tracking 13 of the CPC metrics for 2024 through the Partners For Kids provider portal. This is intended to provider better “real-time” insight into practice performance in the CPC program.