Chronic Care Management/CCM

Understanding CCM

Chronic Care Management (CCM) is defined as the NON-FACE-TO-FACE services provided to Medicare beneficiaries who have multiple (two or more), significant chronic conditions. In addition to office visits and other face-to face encounters (billed separately), these services include communication with the patient and other treating health professionals for care coordination (both electronically and by phone.)
Medicare may pay for a health care professional’s help to manage your health conditions if both apply:
  • You have 2 or more chronic conditions.
  • Your conditions are expected to last at least a year.
Chronic care management offers additional help managing conditions like these:
  • Arthritis
  • Asthma
  • Diabetes
  • Hypertension
  • Heart disease
  • Osteoporosis
Services may include:
  • At least 20 minutes per month of chronic care management services
  • Personalized help from a health care professional to create a care plan based on your needs and goals
  • Care coordinated between your doctor, pharmacy, specialists, testing centers, hospitals, and other services
  • Phone check-ins between visits to keep you on track
  • Emergency access to a health care professional, 24 hours a day, 7 days a week
  • Expert help with setting and meeting your health goals


This PDF will help you understand CCM, Chronic Care Management and how it can help you.
Understanding CCM
If you have any questions about the program please feel free to contact Center for Medicare and Medicaid Service or your Health Plan
1-800-MEDICARE (1-800-633-4227)