Multipayer CPC+ Updates!

Primary Care Team Guide:  New from the Robert Woods Johnson Foundation

An excellent guide and resource for primary care teams can be found at  It provides a wealth of information and learning modules that will help teams at all levels.  From getting started to building the team to doing the work, and supporting the team, the website covers a wide array of brief videos and short articles about overcoming challenges and getting to the next level of team performance.   Even for seasoned and well-functioning CPC+ care teams, the site has things to offer for all!

2021 Social Determinants of Health (SDoH) Commercial Payer Incentive Program Update

Thank you for your excellent submissions to last month’s SDoH survey.   Your input provided valuable insights for the development of 2021 commercial SDoH incentive program designs in our multiplayer forum in our joint effort to collect this important data without undue provider administrative burden.  As a result:

  • Priority Health has released their 2021 SDoH design. PCMH-designated practices using recognized screening tools that screen and submit z-codes for 5% or more of the Priority patient panel will receive a PMPM for their panel of Priority patients.  A variety of screening tools in wide use will be accepted and all z-codes are acceptable.
  • BCBSM is progressing on their SDoH 2021 incentive. Details will be forthcoming.
  • In future years as multiplayer collaboration continues, the intent is to reward the life cycle of SDoH activity including coordination with community-based organizations, etc.

Michigan Data Collaborative CPC+ Dashboard 

If you would like access and have not yet completed the Data Use Agreement (DUA) or the User Account Request to allow access to the CPC+ Dashboards for your organization, please contact the Michigan Data Collaborative and we will work with you to complete.

Additional information, such as an Online Tutorial, Release Announcements, Release Notes, User Guide, and CPC+ Measures Technical Guide can all be found on both the CPC+ Support page of the MDC Website and the User Guide & Technical Guide tabs of the Dashboard itself.

If you have any questions or suggestions regarding the dashboard, please contact MDC at

Resources for CPC+ Practices 

For those with access to CPC+ Connect, CMS released a revised version of the Quick Reference Guide (QRG) for the PBIP Program Year 2020.  The version provides an overview of the methodology and scoring of the quality and utilization components of PBIP.  Also on Connect is a summary of lessons learned from the 2019 CPC+ eCQM reporting, titled tips for successful 2020 CPC+ eCQM reporting.

  • CMS published 2021 Eligible Professionals/Eligible Clinicians and Eligible Hospitals/Critical Access Hospitals Electronic Clinical Quality Measure Flows to the eCQI Resource Center. The eCQM flows are designed to assist in interpretation of the eCQM logic and calculation methodology for performance rates. The eCQM flows provide an overview of each of the population criteria components and associated data elements that lead to the inclusion or exclusions into the eCQM’s quality action (numerator).

Michigan Institute for Care Management and Transformation

Training and Webinar Announcements

A list of upcoming training, including live webinars, can be found in the News and Events section of MICMT’s website:  For an at a glance view, please find the event calendars and event flyers in the “News” section here.

Please do not hesitate to reach out with any questions or concerns:

Contact Us! How Can We Help? Supporting CPC+ POs and Practices in Michigan

The joint commercial CPC+ payers in Michigan are working together to support multipayer alignment with the University of Michigan.  We advocate with CMS to emphasize the important role that POs play in supporting CPC+ and work with them as partners in the Michigan CPC+ community, work with all participating payers in Michigan to create consistency in payer policy and approach wherever possible, and work to remove roadblocks that practices and POs face in CPC+ implementation and operations.  We are interested in learning about your successes, challenges and questions.  Please contact the CPC+ Michigan Regional Convener, Diane Marriott ( or 734 740 0511) at any time to share your ideas and experiences.