Chronic Care Management

Partners for Life!

What is Chronic Care Management (CCM)?

Chronic Care Management (CCM) is a service that helps you manage your health if you have two or more chronic conditions expected to last for more than a year. CCM can help you improve your quality of life and prevent complications from your conditions. It focuses on creating a team-based, patient-centered approach designed to assist patients and their support systems in managing their chronic medical conditions more effectively.

What is a Chronic Condition?

Examples of chronic conditions include, but are not limited to:

  • Alzheimer’s disease and related dementia
  • Arthritis (osteoarthritis and rheumatoid)
  • Asthma
  • Atrial Fibrillation
  • Autism Spectrum Disorders
  • Cancer
  • Cardiovascular Disease
  • COPD
  • Depression
  • Diabetes
  • Hypertension
  • Infectious Diseases such as HIV/AIDS
  • Substance Use Disorders

There are many other conditions that can qualify you for CCM. Based on your condition(s), your doctor or medical staff should know whether or not you qualify for CCM services.

How Does CCM Work?

CCM is provided by a team of healthcare professionals who work with you and your primary care provider. They will create a personalized Comprehensive Care Plan that covers your goals, needs, and preferences. They will also coordinate your care with other providers and services, such as specialists, pharmacies, labs, and community resources. You can contact your CCM Nurse anytime you have questions or concerns about your health.

What Are The Benefits of CCM?

The overall goal of CCM is to keep you healthy while reducing costs. Better care management helps you avoid health events such as trips to the emergency department, falls, or worsening health. CCM allows you to get the personal attention of a registered nurse and help from a healthcare provider you know, and who knows your health conditions. This means you can better manage your care and spend more time focusing on your health goals and working toward the quality of life you deserve.

CCM Can Help You:

  • Understand your conditions and how to manage them
  • Follow your care plan and take your medications correctly
  • Monitor your symptoms and report any changes
  • Prevent or reduce hospitalizations and emergency visits
  • Save money on your health care costs
  • Achieve better health outcomes and satisfaction

How Can I Get CCM?

CCM is covered by Medicare Part B if you have two or more chronic conditions that are expected to last at least 12 months or until the end of your life. You may have to pay a monthly fee or co-payment for CCM services, depending on your plan. You can ask your primary care provider if you qualify for CCM and how to enroll.

Contact our CCM Nurse or speak with your provider today, so you can start living the life you deserve!

Contact Information

Ashley Lachney, RN
CCM Nurse