Chronic Care Management Resources

Physician Resources

The CMS press release was issued on March 15, 2017, announcing the awareness of the benefits of Chronic Care Management (CCM) services for Medicare beneficiaries with multiple chronic conditions and to provide health care professionals with support to implement CCM programs. The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) and the Federal Office of Rural Health Policy at the Health Resources and Service Administration (HRSA) introduces Connected Care a nationwide effort within fee-for-service Medicare that includes a focus on racial and ethnic minorities as well as rural populations, who tend to have higher rates of chronic disease.

The ‘Connected Care’ Resource Hub provides:

• Toolkit for health care professionals
• Partner Toolkit
• Patient Education Resources

Additional Resources

•  Chronic Care Management Services Changes for 2017 (PDF)
• Chronic Care Management (CCM) Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) - Frequently Asked Questions (PDF)
• Frequently Asked Questions about Physician Billing for Chronic Care Management Services (PDF)

 List of Chronic Conditions

• Alzheimer's Disease and Related Dementia
• Arthritis (Osteoarthritis and Rheumatoid)
• Asthma
• Atrial Fibrillation
• Autism Spectrum Disorders
• Cancer (Breast, Colorectal, Lung, and Prostate)
• Chronic Kidney Disease
• Chronic Obstructive Pulmonary Disease
• Depression
• Diabetes
• Heart Failure
• Hepatitis (Chronic Viral B & C)
• HIV/AIDS
• Hyperlipidemia (High Cholesterol)
• Hypertension (High Blood Pressure)
• Ischemic Heart Disease
• Osteoporosis
• Schizophrenia and Other Psychotic Disorders
• Stroke 

Questions about these resources?  Contact the 'Connected Care' campaign at CCM@cms.hhs.gov.