PRIMARY CASE MANAGEMENT

What is PRIMARY CASE MANAGEMENT?

PRIMARY CASE MANAGEMENT meaning A program where the State contracts directly with primary care providers who agree to be responsible for the provision and/or coordination of medical services to Medicaid recipients under their care. Currently, most PCCM programs pay the primary care physician a monthly case management fee in addition to reimbursing services on a fee-for-service basis.

 

reference: Centers for Medicare & Medicaid Services

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