Centers for Medicare & Medicaid Services – Centers for Medicare & Medicaid Services Web Site

CCM Health Care Professional Resources – Resources and tools that can help health care professionals learn how to implement Chronic Care Management (CCM)

Chronic Care Management Booklet for Healthcare Professionals – This booklet provides background on payable CCM service codes, identifies eligible practitioners and patients, and details the Medicare PFS billing requirements from Centers for Medicare and Medicaid Services (CMS)

Government FAQ on Billing for Chronic Care Management Services (CCM)

CCM Connect Care Toolkit – Download the toolkit to learn more about how CCM can benefit your patients and practice and successfully bill for CCM

CCM Patient Resources – CCM services and what they include, Health Center List, Initiatives on chronic conditions, and various education programs

Community Resources – Access Connected Care resources to increase awareness about CCM in your community.

Department of Health and Human Services

Department of Health and Human Services (HHS) Web Site

Multiple Chronic Conditions Research – The following is a list of selected publications and resources on the topic of multiple chronic conditions (MCC) associated with HHS.

Transitional Care

American Academy of Family Physicians (AAFP) FAQ on Transitional Care Management

AAFP – The 2020 Medicare Documentation, Coding and Payment Update


June 9, 2020, How remote patient engagement can help risk-based providers improve chronic condition management amid the pandemic, Becker’s Health IT

June 1, 2020, The pandemic accelerated tech-driven healthcare delivery; will it last? Becker’s Health IT

March 15, 2020, Chronic Care Management coding requirements, MH Life Sciences, Medical Economic News

November 13, 2019, How to avoid common chronic care management denials, MH Life Sciences, Medical Economic News

July 10, 2019, How to deliver effective and profitable chronic care management, MH Life Sciences, Medical Economic News