Chronic Care Management
Chronic Care Management coordinates care under a single healthcare provider
and involves a whole team of resources to encourage and provide needed
The patient must be enrolled in Medicare and have two or more chronic diseases,
that, if not managed, would lead to a significant decline in their health.
The patient developes their own plan of care with goals they wish to attain.
Examples of chronic conditions include, but are not limited to:
- Alzheimer's disease and related dementia
- atrial fibrillation
- autism spectrim disorders
- cardiovascular disease
- chronic obstructive pulmonary disease
- hypertension (high blood pressure)
- infectious diseases such as HIV/AIDS
- multiple sclerosis
- sleep apnea
Patients must have a primary care provider that practices at one of the
Campbell County Medical Group
clinics, be enrolled in Medicare and meet the program’s health criteria.
Call Lise Necklason at 307-688-3670 for more information about Chronic
The Centers for Medicare & Medicaid Serviecs (CMS) recognizes Chronic
Care Management (CCM) as a critical component of primary care that contributes
to better health and care for individuals.