CMS Chronic & Principal Care Management Services: Implementation Guidance

Implementing the Centers for Medicare and 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.

The CCM/PCM services can be augmented with additional virtual services to ensure holistic and convenient service delivery and increased reimbursement for chronic care management. As noted in the flow diagram above, it is possible to ensure those receiving CCM/PCM are also current on their annual wellness exams and have received advance care planning.

If the organization decides to move forward with CCM/PCM, find a staff member or small team willing to learn the CCM/PCM requirements, identify the operational considerations, ensure that needed changes occur, communicate with staff, and identify training needs.