What is Primary Care AHEAD?
A voluntary, beneficiary-focused advanced primary care program designed to align Medicare with state-led primary care efforts. It has an overarching, flexible framework of care transformation priorities that will complement statewide Medicaid primary care priorities. Primary Care AHEAD is intended to increase overall capacity for care coordination and connection to community resources, improve quality, offer whole person-centered care, and minimize provider burden.
For the full All-Payer Health Equity Approaches and Development (AHEAD) Model Primary Care AHEAD Factsheet, please click here.
We are excited to announce that the Medicaid Path will launch August 1st! MDH received approval on June 23, 2025 from Centers for Medicare & Medicaid Services (CMS) for the payment authorities (state-directed payments) needed to launch the Medicaid Path of Maryland’s AHEAD Primary Care Program.
Enhanced Evaluation and Management (E&M) fees for all primary care providers participating in the Medicaid program will go into effect on August 1, 2025. A transmittal outlining the details of these payments will be forthcoming.
Care Management fees for provider organizations contracted to participate in the Medicaid alternative payment model (Medicaid Path or Medicaid Advanced Primary Care) should be disbursed by the end of August, and will account for the full Quarter 3 2025 payment amount (e.g., providers will receive the care management per member per month fees for the months of July through September).
If you have any questions, please reach out to mdh.pcmodel@maryland.gov.
Materials from April 24, 2024 TOC/HTAC Meeting
Materials from April 23, 2024 MDPCP Update CRISP Summit Meeting
Additional Resources
Videos
Final MD AHEAD State Agreement
State Agreement Public Summary