What is CP3?

The Capitation Payment Preparedness Program (CP3) is the readiness effort being developed to ensure demonstration sites are successful participants in the Alternative Payment Methodology (APM) pilot, slated to begin 2017. This page will provide updates on the program, links to pertinent information for CPCA members as well as those involved in the pilot program.  

Goal of CP3

To demonstrate through statewide aggregated data that under the APM pilot, FQHC's can help bend the total cost of care curve, improve patient outcomes, and enhance patient experience while remaining financially robust. 

State Updates
FQHC APM Pilot – Revised Timeline from DHCS9/1/2016

Date

Deliverable/Activity

September 2016

Submit concept paper to CMS - DONE

Notify all FQHCs of Pilot

October - December 2016

Finalize proposed SPA and publication of SPA notice

Release pilot applications to clinics

DHCS completes application review/selection

Plans/Clinics reconcile data

Plans submit data to DHCS/Mercer

January - March 2017

 

Plan calls with Mercer begin

Mercer develops pilot supplemental capitations and clinic-specific PMPMs

Release draft rates to plans/clinics

Begin readiness activities with clinics and plans

April - June 2017

Notify plans/clinics of final rates

Submit final rates to CMS for approval

Continue readiness activities

October 2017

Pilot implementation (contingent upon approval of rates by CMS, plan/clinic readiness)

Readiness Assessment Checklist

The tool is available to all FQHC’s across California to use as a discussion and management tool. If sites are interested in additional coaching for the Readiness Assessment Checklist and Workplan, please contact Tina Canupp tcanupp@cpca.org.

Resources and Learning Opportunities

There are a number of trainings and webinars available for site around Managed Care, please use the link above to view these resources.

CP3 Team
CPCA has partnered with Center for Care Innovations and California Health Care Safety Net Institute
Funding

Thank you to our funders for their continued support and for being committed to payment reform. Without the support from these foundations, this endeavor would not be possible:
Blue Shield of California Foundation
California HealthCare Foundation
Kaiser Permanente Community Benefits 
The California Endowment 
The California Wellness Foundation