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Summary

Allows States to use membership-style direct primary care (DPC) arrangements to provide Medicaid primary care services, including inside value-based care programs. A DPC arrangement is defined as primary-care-only services paid by a fixed periodic fee to the provider. The Department of Health and Human Services must hold at least one virtual stakeholder meeting, issue implementation guidance within one year, and deliver a report to Congress within two years on state use, costs, and quality under Medicaid.

Key Points

• States may use direct primary care (DPC) arrangements to provide Medicaid primary care services, including inside value-based programs.
• A DPC arrangement is defined as primary-care-only services paid by a fixed periodic fee to the provider.
• HHS must hold at least one virtual stakeholder meeting to gather input about DPC in Medicaid.
• HHS must issue guidance to States within one year on using DPC in Medicaid.