Connected Care: The Chronic Care Management Resource Health Care Professional Toolkit

Centers for Medicare and Medicaid Services (CMS)

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 CCM takes time and effort. CMS established separate payment 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. CCM services may be billed by:

  • Hospitals, including critical access hospitals (CAHs)
  • Rural health clinics (RHCs)
  • Federally qualified health center (FQHCs)
  • Physicians and certain non-physician practitioners (physician assistants, clinical nurse specialists, nurse practitioners and certified nurse midwives)