Longitudinal Family Physician (LFP) Payment Model

A physician who meets the eligibility criteria for the Longitudinal Family Physician (LFP) Payment Model can enrol and be compensated in accordance with this LFP Payment Schedule. This document sets out LFP eligibility criteria, enrolment steps, and billing codes and rules.

• MSC Longitudinal Family Physician Payment Schedule (PDF, 790KB) - As of July 1, 2026.
• Previous versions can be found here.

Temporary Billing Code, effective October 1, 2025 to March 31, 2026:

• T98101 LFP Respiratory Immunization Provided by an Allied Care Provider (PDF, 176KB)

These are important dates and deadlines for LFP Physicians and their office staff. More information can be found in the LFP Payment Schedule.

2026 Calendar

• Teleplan Close-off and Remittance and Designated Holidays Calendar can be found here.

The Longitudinal Family Physician (LFP) Payment Model was developed by the BC Ministry of Health in consultation with BC Family Doctors and Doctors of BC. An alternative to the fee-for-service model, the LFP Payment Model is a blended model to support physicians in family practice who provide longitudinal family medicine care. It was developed to:

• Recognize the complexity of longitudinal care
• Value the time spent with patients
• Resource family medicine clinics as critical healthcare infrastructure
• Acknowledge the value of indirect care and clinical administrative services
• Support physician agency and flexibility in practice

It supports family physicians by compensating for time, patient interactions, and the number and complexity of patients in their practice. 

The LFP Payment Model was launched in February 2023 and is continuously being improved to keep up with the changing primary care landscape throughout the province. The Model was expanded in June 2024 to allow family physicians compensated under the LFP Payment Model for clinic-based services to also enrol and bill under the Model for pregnancy and newborn, inpatient, long-term, and palliative care in facility settings.

Obtain a Facility Number:

A Facility Number is not required to enroll in the LFP Payment Model; however, it is required to submit claims under the LFP Payment Model. Facility Numbers for diagnostic or Primary Care Organization (PCO) facilities should not be used for the LFP Payment Model.

Physicians can obtain the Facility Number from the Facility Administrator (the physician responsible for administration of the facility).

A Facility Number obtained for the Business Cost Premium (BCP) can also be used by one or more physicians to submit LFP claims. Using the facility code for LFP will not affect your use of the facility code for BCP.

If a facility does not have a Facility Number, the Facility Administrator must apply for a number by submitting the “Application for MSP Facility Number (New)” form. Each location must obtain a unique Facility Number.

• Online application
• Fill and print: Application for MSP Facility Number (New)

Before completing the Application for MSP Facility Number (New):

• Ensure that no one else has submitted an application for a Facility Number for your facility
• Review the requirements for the Business Cost Premium (BCP) to determine if your facility is eligible if you are requesting that the BCP be applied to your facility (see Business Cost Premium)

Cancel or Change Details for a Facility

If there are any changes to the information for the facility after the application for a Facility Number has been submitted, the Facility Administrator must submit the “Application to Cancel or Change Details for Facilities with an MSP Facility Number” form.

• Online application
• Fill and print: Application to Cancel or Change Details for Facilities with an MSP Facility Number

Method of Withdrawal

To withdraw from the LFP Payment Model, complete the form below and submit it to the Ministry of Health via mail or fax.

• LFP Payment Model – Withdrawal

Circumstances that require withdrawal are outlined in the LFP Payment Schedule (“Withdrawal and Removal from the LFP Payment Model”).

A physician who withdraws may not re-enrol in the LFP Payment Model for a period of 12 months unless approved in writing by the Medical Services Commission.