Community Longitudinal Family Physician (CLFP) Payment

Updated January 03, 2024


Deadline extension: The deadline for cleaning up and submitting patient panels and confirming practice information as part of the Provincial Attachment System Panel Registry is now January 31, 2024.

The Community Longitudinal Family Physician (CLFP) Payment values relational continuity – trusting, therapeutic relationships developed over time between a patient and family physician (and their team), in which the patient sees this family physician the majority of time.

2023 CLFP Payment Timelines

•    January 31, 2024: Deadline for submitting the CLFP Payment web claim form.
•   January 31, 2024: Deadline for cleaning up & submitting your patient panel and confirming practice information as part of the Provincial Attachment System Panel Registry. 
•    March 2024: Payments will be made to eligible physicians.

If you have questions about the CLFP payment, please contact fp.billing@doctorsofbc.ca

FPSC provides the CLFP Payment to recognize family physicians who work under fee-for-service and applicable alternative payment models and provide long-term, relationship-based care for a panel of patients.

The CLFP Payment recognizes that developing relational continuity entails additional indirect patient care activities, for which doctors are not compensated, like maintaining medical records, coordinating referrals, reviewing test results, and more.

More information including Q&A will be communicated in the coming weeks.

FPSC will email eligible physicians links to the online claim forms in mid-November 2023. Physicians will receive personalized emails according to their individual eligibility. The deadline for submitting the online claim form is January 31, 2024. Payments will be remitted to eligible physicians in March 2024.

The CLFP Payment may be subject to business arrangements pertaining to how MSP payments 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.

Who is eligible for the CLFP Payment?

A) Family physicians who bill fee-for-service 
Fee-for-service, community-based family physicians are eligible for the 2023 CLFP Payment if they:

  • Have submitted and met the requirements of the Community Longitudinal Family Physician (CLFP) Portal Code (14070) in 2023. The submission of 14070 signifies that in 2023, the physician is:
    • A community longitudinal family physician (as defined in the FPSC Preamble), with an office from which they provide in-person medical services to a known panel of patients.
    • The MRP for the majority of the patient’s longitudinal primary medical care, providing continuous comprehensive coordinated family practice services to patients, and will continue to do so for the duration of that calendar year.
    • Confirming doctor-patient relationship with existing patients through a standardized conversation or “family physician-patient compact.”
    • Able to produce a list of active patients for whom they are the MRP.
       
  • Have at least 250 empanelled patients within four months of beginning practice as a community longitudinal family physician in 2023.
     
  • Participate in the Provincial Attachment System (PAS), including:
    • Have (or will) develop and upload their list of empanelled patients by January 31, 2024.
    • Commit to maintaining an accurate and current list of empanelled patients and updating their panel data as needed.
    • Commit to attaching suitable patients in their communities through the PAS and other means, if they have capacity to do so.
    • Commit to actively updating their availability for accepting new patients.
    • Commit to working with their clinic medical directors/staff delegates to update information on the Clinic and Provider Registry.

B) Family physicians who are under an alternative payment/funding model
Currently, family physicians who primarily provide community longitudinal family physician (CLFP) services under an alternative payment/funding model may receive a payment, similar to a CLFP payment, as a component of their contract or model. Family physicians working under an alternative payment/funding model may be eligible to receive a modified CLFP payment amount. 

To be eligible for the 2023 CLFP Payment, family physicians under an alternative payment/funding model must meet all the following requirements:

  • Practice as a community longitudinal family physician (as defined in the FPSC Preamble), with an office from which they provide in-person medical services to a known panel of patients.
  • Have at least 250 empanelled patients within four months of beginning practice as a community longitudinal family physician in 2023.
  • Be responsible for contributing to overhead costs (e.g., lease, Medical Office Assistant and EMR) under an alternative payment model and not receive payment specifically for overhead (e.g., New to Practice Incentives Program overhead payment).
  • Be working under a Group Contract for Practicing Full Service Family Physicians, 200 GP contract, blended-capitation models, or Alternative Payments Subsidiary Agreement Service Contract consistent with the Alternative Payment Subsidiary Agreement (e.g., GP Full-scope practice category).
  • Not receive an equivalent payment as part of their current contract.
  • Participate in the Provincial Attachment System (PAS), including:
    • Have (or will) develop and upload their list of empanelled patients by January 31, 2024.
    • Commit to maintaining an accurate and current list of empanelled patients and updating their panel data as needed.
    • Commit to attaching suitable patients in their communities through the PAS and other means, if they have capacity to do so.
    • Commit to actively updating their availability for accepting new patients.
    • Commit to working with their clinic medical directors/staff delegates to update information on the Clinic and Provider Registry.

For more information visit: