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Health Care Professional Resources


CMS Equity Plan for Medicare
From Coverage to Care
Connected Care:
The Chronic Care Management Resource

CCM Health Care Professional Resources

CCM Patient Resources
CCM Community Resources
Rural Health
Advancing Health Equity R & D
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Health Care Professional Resources

Connected Care: The Chronic Care Management Resource

The Connected Care initiative provides resources and tools that can help health care professionals learn how to implement chronic care management (CCM) and receive payment for providing these services.

Chronic care management is care coordination services done outside of the regular office visit for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline. These services are typically non-face-to-face and allows eligible practitioners to bill for at least 20 minutes or more of care coordination services per month.

 Resources for You Resources for Your Patients Resources for Rural Health Clinics Order Printed Materials

Health Care Professionals Eligible to Bill for CCM

doctor illustration with cross in the background Physicians and the following health care professionals can bill for CCM services: Physician Assistants, Clinical Nurse Specialists, Nurse Practitioners, and Certified Nurse Midwives. Federally Qualified Health Centers, Rural Health Clinics, and Critical Access Hospitals can also bill for CCM services. Only one practitioner per patient may be paid for CCM services for a given calendar month.

Resources for You

three physicians around table talking

CCM Connected Care Toolkit [PDF, 561 KB]

Download the toolkit to learn more about how CCM can benefit your patients and practice.
Female physician smiling

Connected Care Physician Testimonial About Chronic Care Management

Watch and share this video in which one doctor shares how offering CCM is benefiting her Medicare patients and practice in rural North Carolina.
female physician sitting and reading papers

Connected Care Postcard for Health Care Professionals [PDF, 591 KB]

Designed for health care professionals, this postcard explains what CCM is and its benefits.
healthcare provider with arm on patient's shoulder

CMS Care Management Web Page

Visit the CMS Care Management page to find CCM resources, including fact sheets, frequently asked questions, and data on chronic conditions in Medicare.

Resources for Your Patients

Connected Care brochure next to two mobile devices and medical equipment

"Connecting the Dots" Animated Video for Patients

Use this animated video in English and Spanish to help explain the benefits of CCM services to your patients.
two women kayaking

Connected Care Poster for Patients [PDF, 1.09 MB]

Use this poster in your office or waiting room to promote the benefits of CCM to patients.

Resources for Rural Health Clinics and Federally Qualified Health Centers

African American man and woman looking at document

Chronic Care Management Services in Rural Health Clinics and Federally Qualified Health Centers Frequently Asked Questions [PDF, 265 KB]

This FAQ sheet answers billing questions for Rural Health Clinics and Federally Qualified Health Centers.
woman smiling with farm in background

Chronic Care Management Services for Rural Health Clinics and Federally Qualified Health Centers Fact Sheet [PDF, 95 KB]

This fact sheet provides information about CCM for Rural Health Clinics and Federally Qualified Health Centers.

*Note: FQHCs and RHCs may only bill for CCM using CPT code 99490 at this time. New billing codes for care management services are being finalized for 2018. Please review the Medicare Learning Network's August 2017 listening session, "New Proposals for RHCs and FQHCs on Care Management Services and ACO Assignments" for more information.

Order Printed Materials

illustration of shopping cart with papers in basket

Order Printed Materials

Printed copies of the Connected Care postcards and posters can be ordered at no cost to your organization. Visit our Product Ordering Instructions page to learn how to place an order.

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