At this time, there’s been no indication that the Clear Pricing Project (CPP) will be extended or replaced for primary care. The only new program announced so far is the Behavioral Health Access Program (BHAP), which does not apply to primary care providers.
That said, here are a few proactive steps you can take:
- Review your current contracts with Aetna to understand how your reimbursement rates may change once CPP ends.
- Consider renegotiating your contract. Many practices are already doing this to secure more sustainable terms.
- Ensure you’re part of Aetna’s Choice POS II network, which the NC State Health Plan will use exclusively starting January 1, 2025.
👉 Join the Aetna Network
👉Behavioral Health Access Program(BHAP)