Blended Capitation Program Update (August 24, 2023)

The Family Practice Renewal Program (FPRP) began accepting applications/expressions of interest from physicians interested in enrolling in the blended capitation payment model on April 3, 2023. The FPRP encourages family physicians interested in participating in the Blended Capitation Model (BCM) program to submit an expression of interest.

To ensure full program readiness, the parties to the new Blended Capitation Model (BCM) have agreed to move the start date for accepting family physicians into the model from September 1, 2023 to October 30, 2023.  The new start date will ensure time for physician engagement in program design and policy development, and will ensure supports and processes relating to program implementation are in place.

Once physicians are accepted into the new model, they can apply for the one-time $10,000 Start-Up Grant and $11,250 Transition Grant. Acceptance into the program also includes access to the two-year income guarantee (income floor in the first two years based on an individual’s previous two-representative years billing average, plus a 10.9% premium payment applied in the first year.)

The program is still on track to have the billing system for capitation claims and partial fee-for-service claims ready for a test group of physicians by April 1, 2024. Once the reliability and accuracy of the billing system are confirmed, the billing system will be open to all physicians who have been accepted into the BCM model no later than July 1, 2024.

Physicians who have already completed an expression of interest and subsequently submitted their practice profile to the Family Practice Renewal Program (FPRP) can expect an update on their eligibility status in the next several weeks. Once eligibility is confirmed, the NLMA (on behalf of the Family Practice Renewal Program) will confirm income floor with applicants and the Department of Health and Community Services prior to FPRP issuing letters of agreement for enrollment in the new payment model.

As further information about the roll-out of this program becomes available, this section of the FPRP website will be updated.

More information on the model is available on the NLMA website at: