Maryland Primary Care Program (MDPCP) Updates




Instituting comprehensive primary care across Maryland.

Volume One, Issue Eleven                                                                                 Thursday, Nov. 15, 2018

Director's Message: Next Steps for the Maryland Primary Care Program


Greetings and best wishes for the approaching holiday season. Equally as anticipated, the launch of the Maryland Primary Care Program (MDPCP) comes in a short 45 days, and not a moment too soon.

Across the country, and within each state, health care is not given the priority it merits. Nationally, primary care spending ranges from 5.8 percent to 7.7 percent. In Maryland, funding most basic care for patients accounts for only 5 percent of our total health care spending. A few states like Rhode Island and Oregon have made bold policy statements to increase the level of primary care investment significantly, up to 12 percent; this is a great starting point.

The delivery of health care in the U.S. is pivoting; as we move away from volume- based care to value based care in the U.S., it is obvious that quality is the correct path forward. The focus on high-end technology and ultra-specialization will not yield the necessary improvements in quality, patient experience, or reductions in cost.  We can learn from nations like the UK and Germany that have shown how greater investments in primary care reduce the overall health care expenditures and improve longevity and quality of care. The real value added comes from access to high quality advanced primary care and prevention.  As we move from a system of “sick care” to a system of “health and wellness,” primary care will be the most important part of the delivery system.

I hope that you are as excited as we are about MDPCP.  At a time when primary care has been suffering from declining numbers of already overburdened, under compensated, and poorly appreciated providers, the MDPCP represents an antidote.

Maryland has committed to this important transformation. The MDPCP is a first and critically important step in this journey. By providing generous funding and technical support for eligible practices, the state is demonstrating its commitment to a strong, growing, and highly valuable primary care workforce and advanced primary care.

We are now in the final phases of the vetting and qualification process for the MDPCP’s first enrollment period.  We are encouraged by the enthusiastic application response.  A significant majority of the applicant practices will be accepted to begin in Program Year 1.  For those that have not been accepted in this inaugural enrollment, we encourage you to apply in subsequent open enrollment periods.  We anticipate open enrollment for Program Year 2 may begin as early as May 2019.  The MDPCP Program Management Office (PMO) will be available to assist practices with technical application issues beginning in January 2019.

Howard Haft, MD, MMM, FACPE

Executive Director, Program Management Office



MDPCP Education

The PMO hosts many events to educate stakeholders about the upcoming MDPCP. Events include in-person meetings and online presentations. Slide presentations and recordings of webinars held in recent months are available on our website under Practice Education Sessions

Upcoming Events

Educational events being held in the upcoming weeks include:


Full Calendar



Program Timeline

For a detailed overview of upcoming program milestones, please see our updated timeline.  


Upcoming Deadlines

  • The Care Transformation Organization (CTO) Arrangement, which will define the relationship between practices and CTOs, has been shared with CTOs
  • CTOs will complete and sign these Arrangements, and then distribute them to their partner practices
  • Fully executed arrangements are due back to the CTO and PMO at no later than Friday, Dec. 21
  • Participation Agreements (PAs) for both CTOs and practices, along with other final onboarding materials, will be distributed in early December. PAs are due back to the Center for Medicare and Medicaid Innovation (CMMI) by Friday, Dec. 21


For more information about the MDPCP, educational resources, and a calendar of upcoming events,  visit our website. 

For questions, please reach out to or call 844-711-CMMI, and press Option 7 for MDPCP.