Pay-For-Performance (P4P) Program

Providers must have at least 150 attributed members (group TIN or solo NPI) to participate and earn P4P incentives.

P4P Earning Tiers:

• 150–199 members → Eligible for 50% of the available reward
• 200+ members → Eligible for 100% of the available reward

Growing your panel improves eligibility and increases total P4P earnings.

To help maintain your panel size, remember to support members with recertification so they remain active and continuously attributed to your practice. MetroPlus can provide each member’s recertification date so you can proactively assist with outreach.

Ask patients to confirm you as their PCP on their MetroPlus ID card (Member Services: 800xxxxxx).

Keep your demographic details current on the Provider Portal or email [email protected].

Download your panel roster via the Provider Portal (help available at [email protected]).

Aim to see new members within the first two months.

Reach out to inactive members to bring them in for preventive or routine care.

Request monthly gapincare lists at [email protected].

Closing gaps boosts quality outcomes, increases engagement, and enhances P4P performance.

Available for HIV SNP providers.

Measures include: Chlamydia/Gonorrhea testing, Syphilis testing, Viral Load Suppression (VLS).

VLS earns a $500 per member incentive.