What is Chronic Care Management? 

Chronic care management (CCM) is a healthcare service designed to support individuals with chronic medical conditions in managing their health effectively. Chronic conditions are long-term illnesses that require ongoing medical attention and may limit a person’s ability to perform daily activities. Some examples of chronic conditions include diabetes, hypertension, heart disease, asthma, and arthritis. 

If you have Medicare or are dually eligible (Medicare and Medicaid) and live with two or more chronic conditions that worsen your quality of life and put your health at risk, Chronic Care Management (CCM) services can help connect the dots so you can spend more time doing what you love. 

Chronic Care Management (CCM) aims to improve your quality of care and health outcomes if you live with two or more chronic conditions. It will provide the following services: 

  • Care Coordination: At least 20 minutes a month of care coordination from a health care professional outside of in-person office visits, such as phone check-ins and access to a secure electronic patient portal.
  • Regular Monitoring: Monitoring your health status, symptoms, and treatment adherence on a regular basis to detect any changes or complications early.
  • Patient Education: Provides you with information and resources to help you better understand your medical conditions, treatment options, and self-management strategies.
  • Medication Management: Will help to make sure you are taking your medications correctly and will address any issues or concerns you may have about your medications.
  • Lifestyle Support: Offers guidance and support to help you adopt healthy lifestyle habits, such as diet and exercise, that can help manage your conditions and prevent complications.

Talk to your provider about Chronic Care Management (CCM) services and your coverage. The usual cost-sharing rules apply to CCM services, so you may be responsible for the usual Medicare Part B cost sharing (deductible and copayment/coinsurance) if you do not have supplemental, or wraparound, insurance. Most dually eligible individuals are not responsible for cost sharing.

How do I prepare for my visit?

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