3 Questions to Ask About Chronic Care Management
Based on Medicare.gov, Chronic Care Management Services
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What Medicare's Chronic Care Management service is, who may qualify, what it includes, and how Hope Integrative Medicine keeps your care moving forward between visits.
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In this guide
Do My Conditions Qualify?
- Ask whether your conditions count
- Ask what your care plan would focus on
What Would My Care Plan Cover?
- Your goals and your medicines
- Your other providers
- Community services you need
How Would I Reach My Care Team?
- Ask who your care coordinator is
- Ask about secure text messaging
- Ask how your specialists stay updated
What the guideline says
- Chronic Care Management (CCM) is a Medicare service for people with two or more serious chronic conditions, like arthritis and diabetes, expected to last at least a year.
- CMS notes that CCM services are typically provided outside of face-to-face visits, so care keeps moving between appointments.
- Under Medicare's rules, CCM includes a comprehensive care plan, a medicine review, support when moving between care settings, a consistent care team member and phone and secure messaging access.
- Depression and substance use disorders are among the conditions CMS lists that can count toward CCM.
- Eligibility is a clinical decision your provider makes with you; having two diagnoses does not qualify you automatically.
- CCM starts with a visit and your consent, only one practice can provide it in a calendar month, and you can stop at any time.
Source: Medicare.gov, Chronic Care Management Services
Read the full article: Chronic Care Management: Care That Keeps Going Between Visits →
This guide is general health information and does not replace advice from your own provider.
Frequently Asked Questions
A good starting question is: "Do my conditions make me a candidate for Chronic Care Management, and what would my care plan focus on?"
CMS asks practices to make the care plan available to your other practitioners. At Hope, your full care team, including outside specialists involved in your care, is kept up to date on your care events and progress.
Medicare's rules include ways to communicate with your care team by phone and through secure messaging. At Hope, enrolled patients can reach the care coordination team through secure SMS messaging.