- CareFirst CHPMD Providers: Starting 11/2, you can submit medication prior authorizations electronically through the CareFirst Provider Portal. For more information watch this recorded webinar or access the step-by-step guide.
- All Providers: Billing NPI Reminder:The billing NPI submitted on claims must match the billing NPI on file with CareFirst,NPPES and MPRIME(CareFirst CHPMD). If your billing NPI is not enrolled with CareFirst, add it here .
Change Healthcare notifying individuals of data breach. Learn more here.
PCMH Program Description and Guidelines
CareFirst’s Patient-Centered Medical Home (PCMH) program is designed to incentivize and provide resources, data and programs to assist health care providers in delivering quality, cost efficient care. The PCMH program places an emphasis on helping providers provide comprehensive, coordinated care for their CareFirst patients with the greatest health needs – typically those suffering from multiple chronic health conditions. The program requires significant provider and patient engagement and meaningfully compensates primary care providers for that engagement.
You can learn more about the PCMH Program in the Program Description and Guidelines below.
- 2026 Adult PCMH Program Description and Guidelines
- 2026 Pediatric PCMH Program Description and Guidelines
- 2025 Adult PCMH Program Description and Guidelines
- 2025 Pediatric PCMH Program Description and Guidelines
- 2024 Adult PCMH Program Description and Guidelines
- 2024 Pediatric PCMH Program Description and Guidelines
- 2023 Adult PCMH Program Description and Guidelines
- 2023 Pediatric PCMH Program Description and Guidelines
- 2022 Adult PCMH Program Description and Guidelines
- 2022 Pediatric PCMH Program Description and Guidelines
- 2021 Adult PCMH Program Description and Guidelines
- 2021 Pediatric PCMH Program Description and Guidelines
- 2020 Adult PCMH Program Description and Guidelines
- 2020 Pediatric PCMH Program Description and Guidelines
- 2019 Adult PCMH Program Description and Guidelines
- 2019 Pediatric PCMH Program Description and Guidelines
- 2018 Program Description and Guidelines