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April 2021

Changes coming to PGIP allocation to support chronic disease management efforts

To better support Collaborative Quality Initiatives that address chronic disease management and common surgical procedures, the Physician Group Incentive Program allocation will change to 6%, effective July 1, 2021. This change is for all provider types and procedure codes that are subject to the allocation and is intended to support our health care providers and members.

All funds allocated are distributed to eligible organizations that participate in PGIP to support physician practice and system transformation. No money is retained by Blue Cross Blue Shield of Michigan for administrative costs.

Visit bcbsm.com/provider/valuepartnerships/pgip for more information about PGIP.

Note: Claims for Federal Employee Program® members are excluded from the PGIP allocation.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.