HTS Resources Links
Chronic Care Management
Chronic care management (CCM) is a critical component of primary care that contributes to better outcomes and higher satisfaction for patients and providers. The Centers for Medicare & Medicaid Services (CMS) recognizes CCM takes time and effort. CMS established separate billing codes for payment for the additional time and resources you spend to provide the between-appointment help many of your Medicare and dual-eligible (Medicare and Medicaid) patients need to stay on track with their treatments and care plans. CCM payments can be made for services furnished to patients
- with two or more chronic conditions,
- are at significant risk of death,
- have acute exacerbation/decompensation or
- are in functional decline.
Resources
- Medicare Chronic Care Management (CCM) tip sheet
- Medicare Transitional Care Management (TCM) fact sheet
- Medicare Care Managements FAQs for RHCs and FQHCs
- Medicare Annual Wellness Visit factsheet
- Review of Opioid Use during the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV)
- Utilizing Pharmacists and Community Partners to Improve Care (Applicable to Hawaii only): View recording | View slides
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