The Community Longitudinal Family Physician (CLFP) Payment recognizes the valuable role that community-based physicians have in providing long-term, relationship-based care to their patients.
2019 CLFP Payment
The CLFP Payment for 2019 will be
The exact payment amount for individual
The CLFP Payment acknowledges a family physician’s commitment to providing longitudinal care to patients. Longitudinal care includes providing patients with ongoing medical care, maintaining patients’ medical records, and coordinating referrals to other health care providers when needed. Recognizing that additional, non-clinical responsibilities of providing longitudinal care is not compensated for in fee-for-service, the CLFP Payment is intended to be for fee-for-service family physicians.
An eligible physician will receive a total payment amount of no less than $3,000 and up to $12,000, with exact payment amount per individual physician based on the number and complexity of Majority Source of Care (MSOC) patients associated with the physician in the MSP database. For more information on MSOC and eligibility, click here.
The CLFP Payment may be subject to business arrangements pertaining to how MSP payments paid to particular payee numbers are split between physicians and clinic owners. In these cases, physicians and clinic owners are encouraged to come to a mutual agreement on how existing business arrangements apply to the CLFP Payment.
The CLFP Payment is an ongoing annual payment. Details for future CLFP Payments have not yet been determined.
Fee-for-service, community-based family physicians are eligible for the 2019 CLFP Payment if they:
- Have billed GPSC Portal Code (G14070) in the previous calendar year (2018) and the current calendar year (2019), prior to June 19, 2019, to signify that the physician was and continued to be providing full-service family practice services to patients and confirming physician-patient relationship with existing patients through a standardized conversation.
- Have 50 or more Majority Source of Care (MSOC) patients in previous calendar year (2018) based on family physician visits provided under fee-for-service.
Family physicians who meet the requirements of GPSC Portal Code (G14070) should submit G14070 on an annual basis to ensure they are considered for future CLFP Payments. The submission of G14070 signifies that a physician is:
- Providing full-service family practice services to patients, and will continue to do so for the duration of that calendar year.
- Confirming physician-patient relationship with existing patients through a standardized conversation or the “family physician – patient compact”.
Family physicians are encouraged to post the family physician – patient compact in their examination rooms and to have conversations with patients to confirm physician-patient relationships. See here for suggested approaches for enhancing relational continuity between family physicians (and their teams) and patients.