October 19, 2023

Q4 2023 MA-PCPi program enhancements

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 Payment date* ACV bonus High Priority MA-PCPi Customer ACV Bonus
Jan. 1–March 31 June 30, 2023 $25 $150
April 1–June 30 Sept. 30, 2023 $25 $150
July 1–Sept. 30 Dec. 31, 2023 $25 $100
Oct. 1–Dec. 31 May 31, 2024 $25 $150

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.


For updated program documents, please visit our MA-PCPi and MCAIP: Terms and Conditions page.


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.


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