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

Chronic Care
Management Benefits
Outsourcing Chronic
Care Management
Patient Care
Generate Greater
Practice Revenue
Examples of
Chronic Conditions
Highly Qualified
Care Coordinators
What is Chronic
Care Management?
Who is Eligible for Chronic
Care Management?