To help support the essential work you do to care for UnitedHealthcare® Medicare Advantage members, we’ve made 2 enhancements to the 2023 Medicare Advantage Primary Care Physician Incentive (MA-PCPi) program. Effective Oct. 1, 2023, the changes apply to quarter 4 of this year only. We hope these enhancements help you finish the year strong.
Increased ACV bonus rate
The bonus for High Priority Annual Care Visits (ACV) increased from $100 to $150 for every ACV that participating providers complete for High Priority MA-PCPi Customers between Oct. 1–Dec. 31. The 2023 bonus rates are as follows:
Dates of ACV
High Priority MA-PCPi Customer ACV Bonus
Jan. 1–March 31
June 30, 2023
April 1–June 30
Sept. 30, 2023
July 1–Sept. 30
Dec. 31, 2023
Oct. 1–Dec. 31
May 31, 2024
New High Priority MA-PCPi Customer definition
We’ve also expanded the scope of customers who meet the definition of High Priority MA-PCPi Customer. They are now defined more broadly to include members who haven’t historically engaged with a primary care physician.
Chat with a live advocate 7 a.m.–7 p.m. CT from the UnitedHealthcare Provider Portal. You can also contact UnitedHealthcare Provider Services at 877-842-3210, TTY/RTT 711, 7 a.m.–5 p.m. CT, Monday–Friday.
*To ensure that you’re reimbursed accordingly, we’ll review your claims and data submissions for the previous quarter(s) and make additional payments, if applicable.