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Definitions and methodology for CPC Program payments.

Payment for CPC practices may include two types of payment:

  1. Per-member-per-month (PMPM) payments
  2. Shared savings payments

All CPC practices are eligible for PMPM payments, and some may be eligible for shared savings payments. PMPM payments and shared savings payments are distributed to CPC practices directly by ODM and the Medicaid managed care plans. CPC practices participating in CPC for Kids are also eligible to receive an additional PMPM for their pediatric members. Details on the definition and methodology for these two payment streams are provided below, as well as some key definitions used in both methodologies.