From David Price:
PI-CME credit is a construct developed by the AMA, and awarded directly by the AMA or through ACCME-accredited providers. It basically allows for up to 20 AMA category 1 CME credits for a project that goes through one (or more) PDSA cycle(s). Many of the efforts in the MOC portfolios can be designated for this type of CME credit (not all are, as not all sponsors have CME shops -- some of the portfolio work lives in the quality shops, not the CME shops, of the various participating institutions.
So, not all MOC portfolio projects (in either the ABMS shop that I run or the ABPeds portfolio) carries PICME credit, and not all PICME is approved for MOC.
Recommendation: Use CME as the credit type for the Performance Improvement modules, and also use 'PI CME' under activityOrResourceFormat to indicate the type of learning object module as Performance Improvement Module.