Connected Care Toolkit – Chronic Care Management Resources for Health Care Professionals and Communities

Chronic care management (CCM) is a critical component of primary care that contributes to better outcomes and higher satisfaction for patients. The Centers for Medicare & Medicaid Services (CMS) recognizes that providing CCM services takes provider time and effort. CMS established separate payments under billing codes 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 plan for better health.

Ongoing care management outside the in-person visit has not always been separately billable in payment, making it difficult for practices to sustain service provision. Offering care management activities CCM can provide you with additional resources to help your practice care for high-risk, high-needs patients.