Notice to Medicare Beneficiaries Regarding the CPC Initiative

Our practice is participating in the Comprehensive Primary Care Initiative, a new care coordination program

This notice is to let you know that Family Physicians of Greeley has chosen to participate in the new Comprehensive Primary Care (CPC) Initiative. By partnering with Medicare and other health insurance plans in the CPC Initiative, we hope to work together with you to coordinate your care visits, and create a care plan that’s right for you.

We’re working to improve your care

We’re committed to providing you with high quality care that meets your unique needs. Through the CPC Initiative, we’re working with Medicare and other health insurance plans to provide you with better care. Under the CPC Initiative, all of these insurers will give our practice additional resources to improve the care we offer to you and other patients. These resources will allow us to make investments that can help our practice better coordinate your care. We won’t be charging you any extra fees because of these new services, and you’ll benefit from more coordinated care.

You can still use any doctor or hospital

You still have the right to use or visit any doctor or hospital that accepts Medicare, at any time. Your Medicare benefits aren’t changing, and this isn’t a Medicare Advantage plan or HMO plan. We may continue to recommend that you see particular doctors for your specific health needs, but it’s always your choice about what doctors you use or hospital you visit. The CPC Initiative is something we participate in with Medicare, so there’s nothing you need to do to continue getting care from us.

Your health information from Medicare helps us give you better care

Our goal is to give you the right care, in the right place, at the right time. Soon, Medicare will start sharing some of your personal health information with us. This information may include things like dates and times you visited other doctors or a hospital. With this information, we’ll have more up-to-date information about your health. Your privacy is very important to us. Just like Medicare, we put important safeguards in place to make sure all your personal health information is safe.

You can choose not to share personal health information about care you received

If you want Medicare to share this personal health information with us, you don’t need to do anything else. If you don’t want Medicare to share this information with us, you can ask Medicare not to by taking one of the following steps:

• Call 1-800-MEDICARE (1-800-633-4227) and ask about “Comprehensive Primary Care.” TTY users should call 1-877-486-2048.
• Complete and sign the “Declining to Share Personal Health Information” form available in our office.
• Complete and return the “Declining to Share Personal Health Information” form included with this letter.

If you choose not to share your personal health information with us, please take one of the steps above by December 20, 2013 so Medicare does not start sharing this information with us on January 31, 2014. If you decide after December 20, 2013 that you no longer want to share your information, you can still take any of the same steps listed above. In that situation, we will only get information from Medicare about the care you get from us, the same as before. If you decide not to share your information now, but change your mind later, you can always update your preferences with us. Just call 1-800 MEDICARE, or complete, sign, and submit the “Consent to Change Preferences” form available in our office.


If you have questions or concerns, you can call us or bring it up next time you’re in the office. You can also visit or call 1-800-MEDICARE and ask about “Comprehensive Primary Care”.