CMS Guidance on Chronic Care Management

Beginning on January 1, 2016, RHCs may receive additional payment for the cost of chronic care management (CCM) services. To be eligible for payment, these services must be provided to Medicare beneficiaries with multiple chronic conditions that are expected to last at least 12 months. The conditions must place the patient at significant risk of death, acute exacerbation, or functional decline.

CMS has finalized its MLN Matters article for Rural Health Clinics submitting claims for CCM services. This a helpful official resource to reference for clinics that are interested in beginning CCM services. You can view the article here.

NARHC plans to hold a technical assistance call on CCM with CMS staff in January. We will post that date once it is available.