What is Chronic Care Management?

The Centers for Medicare & Medicaid Services recognize Chronic Care Management (“CCM”) as a critical component of primary care that contributes to better health and care for individuals.

In 2015, Medicare began paying separately under the Medicare Physician Fee Schedule (CPT 99490 / G0511) for non Face to Face services furnished to Medicare patients with multiple chronic conditions.

CCM services include at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:

• Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient
• Chronic conditions place the patient at significant risk of death, acute exacerbation / decompensation, or functional decline
• Comprehensive care plan established, implemented, revised, or monitored

Examples of Chronic Conditions