CMS Chronic & Principal Care Management Services: Implementation Guidance

Implementing the Centers for Medicare & Medicaid Services’ (CMS) chronic and principal care management (CCM/PCM) services provides an opportunity to put a framework around care coordination, chronic disease management and care management for high-risk patients. Additionally, CCM/PCM services lead to enhanced reimbursement, including for team-based care and work that the care team is already performing. In response to our clients’ needs and requests, we have compiled this short, straightforward guidance for implementing and capturing reimbursement for the CMS CCM and PCM services. In the spirit of brevity, we leave requirements and details of CCM/PCM to the guidance documents listed below in Chronic Care Management Must-Have Resources.