Community Longitudinal Family Physician (CLFP) Payment

The annual Community Longitudinal Family Physician (CLFP) Payment values relational continuity by compensating physicians for the size and complexity of their patient panel. The CLFP Payment is available to family physicians providing longitudinal family physician services under fee-for-service or applicable APSA (Alternative Payments Subsidiary Agreement) contracts. As a reminder, to be eligible for the CLFP Payment, physicians must also participate in the Provincial Attachment System (PAS) by uploading and maintaining an accurate list of empanelled patients, and actively updating their availability for accepting new patients.

Please be aware that physicians eligible to claim both the 2024 and 2025 CLFP Payments will receive two email invitations and must submit both claim forms to receive payment for both of the eligible years.

If you have questions about the CLFP Payment, please contact fp.billing@doctorsofbc.ca.

2024 CLFP Payment

For the 2024 CLFP Payment, eligible physicians will receive email invitations in January 2025. In previous years, the email invitations were sent in November. For detailed information about the 2024 CLFP Payment, please review the 2024 CLFP Payment FAQ document.

2025 CLFP Payment Changes

Beginning with the 2025 CLFP Payment, eligible physicians will claim the CLFP Payment at the beginning of the calendar year (e.g. January 2025) and they will receive payment quarterly. From 2025 onward, the quarterly remittance dates of the CLFP Payment will be aligned with the remittance dates of the Longitudinal Family Physician (LFP) Panel Payment.

Who is eligible for the 2024 CLFP Payment?

A) Family physicians who bill fee-for-service 

Fee-for-service, community-based family physicians are eligible for the 2024 CLFP Payment if they: 

• Have submitted and met the requirements of the Community Longitudinal Family Physician (CLFP) Portal Code (14070) in 2024. The submission of 14070 signifies that in 2024, the physician is: 
  • A community longitudinal family physician (as defined in the FPSC Preamble), with an office from which they provide in-person medical services to a known panel of patients. 
  • The MRP for the majority of the patient’s longitudinal primary medical care, providing continuous comprehensive coordinated family practice services to patients, and will continue to do so for the duration of that calendar year. 
  • Confirming doctor-patient relationship with existing patients through a standardized conversation or “family physician-patient compact.” 
  • Able to produce a list of active patients for whom they are the MRP. 
• Have at least 250 empanelled patients within four months of beginning practice as a community longitudinal family physician in 2024.
• Be responsible for contributing to overhead costs (e.g., lease, Medical Office Assistant and EMR).
• Participate in the Provincial Attachment System (PAS), including:
  • Have (or will) develop and upload their list of empanelled patients by January 31, 2025.
  • Commit to maintaining an accurate and current list of empanelled patients and updating their panel data as needed.
  • Commit to attaching suitable patients in their communities through the PAS and other means, if they have capacity to do so.
  • Commit to actively updating their availability for accepting new patients.
  • Commit to working with their clinic medical directors/staff delegates to update information on the Clinic and Provider Registry.

B) Family physicians who work under an Alternative Payments Subsidiary Agreement (APSA) Service Contract

Currently, family physicians who primarily provide community longitudinal family physician (CLFP) services under an Alternative Payments Subsidiary Agreement (APSA) Service Contract may receive a payment, similar to a CLFP Payment, as a component of their contract or model. Family physicians working under an APSA contract may be eligible to receive a modified CLFP payment amount. 

To be eligible for the 2024 CLFP Payment, family physicians working under an Alternative Payments Subsidiary Agreement Service Contract must meet all the following requirements:

• Practice as a community longitudinal family physician (as defined in the FPSC Preamble), with an office from which they provide in-person medical services to a known panel of patients. 
• Have at least 250 empanelled patients within four months of beginning practice as a community longitudinal family physician in 2024. 
• Be responsible for contributing to overhead costs (e.g. lease, Medical Office Assistant and EMR) under an alternative payment model and not receive payment specifically for overhead (e.g., New to Practice Incentives Program overhead payment). 
• Be working under an Alternative Payments Subsidiary Agreement Service Contract consistent with the Alternative Payment Subsidiary Agreement (e.g., GP full-scope practice category). 
• Not receive an equivalent payment as part of their current contract. 
• Participate in the Provincial Attachment System (PAS), including: 
  • Have (or will) develop and upload their list of empanelled patients by January 31, 2025. 
  • Commit to maintaining an accurate and current list of empanelled patients and updating their panel data as needed. 
  • Commit to attaching suitable patients in their communities through the PAS and other means, if they have capacity to do so. 
  • Commit to actively updating their availability for accepting new patients. 
  • Commit to working with their clinic medical directors/staff delegates to update information on the Clinic and Provider Registry.

Who is eligible for the 2025 CLFP Payment?

A) Family physicians who bill fee-for-service 
Fee-for-service, community-based family physicians are eligible for the 2025 CLFP Payment if they:

• Have submitted and met the requirements of the Community Longitudinal Family Physician (CLFP) Portal Code (14070) in 2025. The submission of 14070 signifies that in 2025, the physician is:
  • A community longitudinal family physician (as defined in the FPSC Preamble), with an office from which they provide in-person medical services to a known panel of patients.
  • The MRP for the majority of the patient’s longitudinal primary medical care, providing continuous comprehensive coordinated family practice services to patients, and will continue to do so for the duration of that calendar year.
  • Confirming doctor-patient relationship with existing patients through a standardized conversation or “family physician-patient compact.”
  • Able to produce a list of active patients for whom they are the MRP.
• Have at least 250 empanelled patients within four months of beginning practice as a community longitudinal family physician in 2025.
• Be responsible for contributing to overhead costs (e.g. lease, Medical Office Assistant and EMR).
• Participate in the Provincial Attachment System (PAS), including:
  • Have developed and uploaded their list of empanelled patients.
  • Commit to maintaining an accurate and current list of empanelled patients and updating their panel data as needed.
  • Commit to attaching suitable patients in their communities through the PAS and other means, if they have capacity to do so.
  • Commit to actively updating their availability for accepting new patients.
  • Commit to working with their clinic medical directors/staff delegates to update information on the Clinic and Provider Registry.

B) Family physicians who work under an Alternative Payments Subsidiary Agreement (APSA) Service Contract

Currently, family physicians who primarily provide community longitudinal family physician (CLFP) services under an Alternative Payments Subsidiary Agreement (APSA) Service Contract may receive a payment, similar to a CLFP Payment, as a component of their contract or model. Family physicians working under an APSA contract may be eligible to receive a modified CLFP payment amount. 

To be eligible for the 2025 CLFP Payment, family physicians working under an Alternative Payments Subsidiary Agreement Service Contract must meet all the following requirements:

• Practice as a community longitudinal family physician (as defined in the FPSC Preamble), with an office from which they provide in-person medical services to a known panel of patients.
• Have at least 250 empanelled patients within four months of beginning practice as a community longitudinal family physician in 2025. Commit to working with their clinic medical directors/staff delegates to update information on the Clinic and Provider Registry.
• Be responsible for contributing to overhead costs (e.g. lease, Medical Office Assistant and EMR) under an alternative payment model and not receive payment specifically for overhead (e.g. New to Practice Incentives Program overhead payment).
• Be working under an Alternative Payments Subsidiary Agreement Service Contract consistent with the Alternative Payment Subsidiary Agreement (e.g. GP full-scope practice category).
• Not receive an equivalent payment as part of their current contract.
• Participate in the Provincial Attachment System (PAS), including:
  • Have developed and uploaded their list of empanelled patients.
  • Commit to maintaining an accurate and current list of empanelled patients and updating their panel data as needed.
  • Commit to attaching suitable patients in their communities through the PAS and other means, if they have capacity to do so.
  • Commit to actively updating their availability for accepting new patients.

Updated November 29, 2024