Step 1: Submit Expression of Interest

Family physicians interested in participating in the Blended Capitation Program must submit an expression of interest. The intent is to capture physician names and contact information to facilitate follow-up at a later date. Please note, this form is an expression of interest only and represents an ongoing process — there is no deadline for submission.

Step 2: Meet with the Blended Capitation Model Advisory Consultant

The NLMA launched an advisory service to support physicians who wish to explore what moving to the Blended Capitation Model means for their individual practices. Services consist of a consultant with whom you can book a meeting to explore how you can use your EMR data to define your panel of patients, predict your future income, and answer any questions you may have on the Model. This information can help inform your decision on whether to move to Blended Capitation. Appointment availability is generally available every second Tuesday evening from 7:00 p.m. – 9:00 p.m. NT.

Please visit the booking website to book an appointment with the Blended Capitation Advisory Consultant (Barbara Molgaard Blake).

Step 3: Complete Practice Profile

Physicians who have submitted an expression of interest will be invited to complete a practice profile used by the Family Practice Renewal Program (FPRP) Blended Capitation Program to inform eligibility, readiness, and customized support for interested physicians. The practice profile gathers information about you and your practice that will be essential to building the support you need to be successful.

If there are follow-up questions relating to your practice profile, the FPRP Practice Facilitator (Nancy Dillon) will contact you directly.

Step 4: Eligibility Status and Income Floor Calculations

Physicians who have already completed an expression of interest and subsequently submitted their practice profile to the FPRP can expect an update on their eligibility status in the next several weeks. Once eligibility is confirmed, the NLMA will send out an email on behalf of the FPRP to each eligible physician to confirm the income floor with applicants and the Department of Health and Community Services prior to issuing letters of agreement for enrollment in the new payment model. The email sent by the NLMA will contain a link to an Income Floor Decision Form; please use the form to indicate your response to your calculation. You may choose to accept the calculation or request a review of your Income Floor.

If you indicate on the Income Decision Form that you would like a review of your Income Floor, you will be contacted by the Blended Capitation Advisor to book a session to review your request and to prepare any relevant documentation for submission for reconsideration.  A session with the Blended Capitation Advisor is mandatory prior to having any review of your Income Floor completed.

Your agreement to the income floor calculation will be required prior to issuance of an agreement for enrollment in the new payment model (Step 6).

Step 5: Meetings with the Practice Facilitator

Physicians may benefit from the assistance of a practice facilitator in their BCM journey. The practice facilitator will help practices identify essential BCM processes, optimize operations, improve quality, and ensure success. The practice facilitator can also help address any questions about the BCG process by connecting you with appropriate resources.

Further information will be forthcoming and communicated about how to book an appointment with the Practice Facilitator (Nancy Dillon).

Nancy will contact the identified BCG physician lead to coordinate a meeting.

Step 6: Acceptance Notification

Physicians who have met the eligibility requirements and have confirmed their income floor calculation will receive a letter of agreement from FPRP for enrollment in the Blended Capitation Program.

Step 7: Grants and Stipends Released as Appropriate

Grants and stipends will be released following the letter of acceptance being signed by each physician within a blended capitation group.

Further information will be forthcoming and communicated.

Step 8: Patient Education, Rostering Tools and Process Initiated

To ensure a seamless transition of patients into the BCM, we will be releasing rostering tools and patient education information. These tools will support your group to implement important elements of the rostering process and will ultimately support payment and after-hours calculations.

These tools will be provided to your group as they are available and shared directly to you and available on the website.

Step 9: Participation in Peer-to-Peer Monthly Network (MyQ)

The FPRP MyQ Physician Network hosts a monthly session designed for Blended Capitation Groups to connect with peers and share their experiences in a facilitated learning environment. These peer-to-peer discussions encourage participants to solve problems, share tips and practical resources. Physicians can participate by listening, sharing ideas, or seeking advice and ideas from their peers.

Information about these sessions will be sent to Blended Capitation Group physicians and posted on the website.

Step 10: Quality Improvement Practice Support

Practice facilitators and Physician Champions, as part of the FPRP MyQ program,  will provide practical guides, tools, and resources to support blended capitation groups. This includes supporting teams to map and implement operational processes, gather performance measures, test high-impact change ideas, and define patient engagement and rostering processes.

Further information will be forthcoming and communicated.

Step 11: Billing System Test with 75 Physicians

The billing system for capitation claims and partial fee-for-service claims will be utilized by a test group of a maximum of 75 physicians. The main objective of this testing is to validate the system’s functionality and ensure all critical components are operating as intended. This testing process is essential to guarantee that the billing system is reliable, efficient, and completely functional before it’s fully deployed.

Further information will be forthcoming and communicated.

Step 12: Billing System Open to Accepted Applicants

All applicants accepted into the Blended Capitation Program are expected to have access to the billing system no later than April 1, 2024.

Further information will be forthcoming and communicated.

For questions, please contact Melissa Sullivan, Program Manager, Blended Capitation Program, at msullivan@nlma.nl.ca.