The Michigan Primary Care Transformation (MiPCT) project is the largest multi-payer patient-centered medical home (PCMH) program in the country, with 346 PCMH practices serving over 1.1 million members, including over 100,000 children and youth.

MiPCT was established in 2010 after Michigan was selected to participate in the Centers for Medicare and Medicaid Services Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration. Consistent with the goals of MAPCP, MiPCT strives to improve the quality and coordination of health care services delivered in the PCMH setting while reducing or stabilizing costs.

Although the MiPCT was initially designed for adults with chronic illnesses, a substantial number of pediatric practices (58 pediatric practices in total) currently participate in the project. As such, the project has adapted several core program elements to better serve children.