Community Longitudinal Family Physician (CLFP) Payment

Updated November 20, 2024

The Community Longitudinal Family Physician (CLFP) Payment values relational continuity – trusting, therapeutic relationships developed over time between a patient and family physician (and their team), in which the patient sees this family physician the majority of time.

The 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 contract.  

2024 CLFP Payment Invitations to Eligible Physicians 

In previous years, eligible physicians received an email invitation to claim the annual CLFP Payment in November. For the 2024 CLFP Payment, eligible physicians will receive email invitations in January 2025.  

Detailed information about the eligibility requirements and FAQs will be shared closer to the payment launch date. 

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) 
• 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).
• Participate in the Provincial Attachment System (PAS), including:
  • Have (or will) develop and upload their list of empanelled patients by January 31, 2024.
  • 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 are under an alternative payment/funding model

Currently, family physicians who primarily provide community longitudinal family physician (CLFP) services under an alternative payment/funding model may receive a payment, similar to a CLFP payment, as a component of their contract or model. Family physicians working under an alternative payment/funding model may be eligible to receive a modified CLFP payment amount. 

To be eligible for the 2024 CLFP Payment, family physicians under an alternative payment/funding model 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. 

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.  

2025 CLFP Payment Timelines 

January 27, 2025:  Eligible physicians will receive an email invitation to claim their 2025 CLFP Payment.  
April 17, 2025: Deadline to submit the 2025 CLFP Payment claim form.  
May 2025: First quarterly remittance to eligible physicians.
If you have questions about the 2025 CLFP payment, please contact fp.billing@doctorsofbc.ca. 

 

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 are under an alternative payment/funding model 
Currently, family physicians who primarily provide community longitudinal family physician (CLFP) services under an alternative payment/funding model may receive a payment, similar to a CLFP payment, as a component of their contract or model. Family physicians working under an alternative payment/funding model may be eligible to receive a modified CLFP payment amount.  

To be eligible for the 2025 CLFP Payment, family physicians under an alternative payment/funding model 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. 

2025 CLFP Payment Timelines 

January 27, 2025:  Eligible physicians will receive an email invitation to claim their 2025 CLFP Payment.  
April 17, 2025: Deadline to submit the 2025 CLFP Payment claim form.  
May 2025: First quarterly remittance to eligible physicians.
If you have questions about the 2025 CLFP payment, please contact fp.billing@doctorsofbc.ca. 

For more information visit: 

• Updated January 03, 2024: 2023 CLFP Payment FAQ (PDF).
• October 12, 2023 update: New eligibility requirements for the CLFP Payment 2023.
• Doctors of BC: Provincial Attachment System (PAS).