What is Chronic Care Management?

Chronic Care Management (CCM) is a Medicare sponsored program, supported by the Centers for Medicare & Medicaid Services, designed, and created to allow us to monitor your health and wellbeing more closely between office visits.

How Can I Qualify?

Medicare requires eligible patients to have two or more chronic conditions. Our staff will let you know if you meet the guidelines for eligibility.

What Happens After I Enroll? 

If you consent, or verbally agree, to enrollment, then you will be contacted monthly by one of our Care Coordinators. Our team consists of nurses and Medical Assistants trained to discuss your chronic conditions and treatment as directed by your River Valley provider.  

Participation in our Chronic Care Management program will help us stay up to date on your conditions and progress. CCM also assists in coordinating care with any other provider or specialist you may be seeing. Our monthly phone calls allow us to improve communication with your provider regarding changes in your health between office visits, as well as improve your health outcomes overall.

Chronic Care Management includes:

• COMPREHENSIVE CARE PLAN
• DIRECT ACCESS TO ASSIGNED CARE COORDINATOR
• MEDICATION MANAGEMENT
• MEDICAL SERVICES COORDINATION 

Ask your healthcare provider today about the benefits of Chronic Care Management and how you can enroll in the program.