MA-PCPi and MCAIP: Terms and Conditions

2026 Terms and Conditions

• Medical Condition Assessment Incentive Program - Effective Jan. 1, 2026
• Medical Condition Assessment Incentive Program for out-of-network providers - Effective Jan. 1, 2026
• Medicare Advantage Intermediate Physician Incentive Program - Effective Jan. 1, 2026
• Medicare Advantage Intermediate Physician Incentive Program for out-of-network providers - Effective Jan. 1, 2026
• Medicare Advantage Primary Care Physician Incentive Program - Effective Jan. 1, 2026
• Medicare Advantage Primary Care Physician Incentive Program for out-of-network providers - Effective Jan. 1, 2026

2025 Terms and Conditions

• Medical Condition Assessment Incentive Program - Effective Jan. 1, 2025
• Medical Condition Assessment Incentive Program for out-of-network providers - Effective Jan. 1, 2025
• Medicare Advantage Intermediate Physician Incentive Program - Effective Jan. 1, 2025
• Medicare Advantage Intermediate Physician Incentive Program for out-of-network providers - Effective Jan. 1, 2025
• Medicare Advantage Primary Care Physician Incentive Program - Effective Jan. 1, 2025
• Medicare Advantage Primary Care Physician Incentive Program for out-of-network providers - Effective Jan. 1, 2025

2024 Terms and Conditions

• Medical Condition Assessment Incentive Program - Effective Jan. 1, 2024
• Medical Condition Assessment Incentive Program for out-of-network providers - Effective Jan. 1, 2024
• Medicare Advantage Intermediate Physician Incentive Program - Effective Jan. 1, 2024
• Medicare Advantage Intermediate Physician Incentive Program for out-of-network providers - Effective Jan. 1, 2024
• Medicare Advantage Primary Care Physician Incentive Program - Effective Jan. 1, 2024
• Medicare Advantage Primary Care Physician Incentive Program for out-of-network providers - Effective Jan. 1, 2024