Estimated Population-Based Payment Reimbursement Under Primary Care 2.0, By Practice
If your organization is interested in receiving information on how you can determine your practice’s estimated Population-Based Payment reimbursement under the Primary Care 2.0 model, please complete this brief, non-binding statement of interest. Each statement of interest allows up to 12 service location entries. We prefer that separate surveys are submitted for each organization. MaineCare will use this information to contact your practice/organization to provide relevant practice-specific information to assist in your Primary Care 2.0 planning. This information will be delivered in June, following the Primary Care 2.0 rate presentations.

Please note that an NPI+3 is the organization’s National Provider Identifier, plus the three-digit service location extension, as enrolled with MaineCare.

If you have any questions please contact Value-Based Purchasing Provider Relations Specialists at HH-BHH-Services.DHHS@maine.gov .

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Email *
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Contact Email *
Phone Number *
Organization Name *
Service Location #1/Practice Name and NPI+3   *
Service Location #2/Practice Name and NPI+3      
Service Location #3/Practice Name and NPI+3
Service Location #4/Practice Name and NPI+3
Service Location #5/Practice Name and NPI+3
Service Location #6/Practice Name and NPI+3
Service Location #7/Practice Name and NPI+3
Service Location #8/Practice Name and NPI+3
Service Location #9/Practice Name and NPI+3
Service Location #10/Practice Name and NPI+3
Service Location #11/Practice Name and NPI+3
Service Location #12/Practice Name and NPI+3
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