Individual physicians need to join a participating Physician's Organization. Learn how to participate in PGIP.
Physician Organization applicants
A Physician Organization — or PO — is invited to join the Physician Group Incentive Program under any of these situations:
- A new PO applies for membership
- An existing PO restructures (splinters) its organization to create a new PO
- Two (or more) existing POs merge to form a new PO
Potential PGIP POs must have 75 or more PPO and TRUST panel or Traditional providers, 50 of whom must be practicing as primary care providers (for example: Internal Medicine, Pediatrics, Family Practice and General Practice).
Articles are posted in The Record and Physician Update prior to the application period announcing that PGIP is open to new Physician Organizations. If a PO meets the above initial eligibility criteria, an application packet is sent to the PO. Completed application packets must be returned to Blue Cross and Blue Shield of Michigan by Aug. 31, 2012. Blue Cross and Blue Shield of Michigan will provide all materials required to complete the application. Final approval or denial will be provided after a thorough evaluation of the PO which requires satisfying standards for PGIP participation, fulfillment of expected PO capabilities and site visits by PGIP Field Operations staff.
How to apply
Applications are accepted during the months of July through August. Interested applicants need to assess whether they meet program requirements as defined in the Requirements for participation, Program responsibilities of POs, and Capability expectations of POs sections of this website.
PO applicants who believe they successfully meet the above criteria should contact us via Provider Partnerships. Those who are "deemed" to be potentially qualified for participation will be sent further instructions and application materials.