Chronic Care Management

What is Chronic Care Management?


Chronic Care Management (CCM) is a Medicare program through which those with multiple chronic conditions receive care coordination directly through their primary care provider.

What Does It Include?


  • A personalized care plan based on your medical history and goals.

  • At least 20 minutes of clinical staff time per month spent on non-face-to-face care coordination.

  • Assistance with medication management and refills.

  • Regular check-ins to monitor symptoms and adherence to your treatment plan.

  • Coordination with specialists, pharmacies, and other providers.

  • 24/7 access to your care provider and support via phone or patient portal.

  • Appointments provided for acute issues.