Primary care case management definition

Primary care case management or "PCCM" means the health care management activities of a provider that contracts with the agency to provide primary health care services and to arrange and coordinate other preventive, specialty, and ancillary health services.

Primary care case management or "PCCM" means a system under which a primary care case manager contracts with the Commonwealth to furnish case management services (which include the location, coordination, and monitoring of primary health care services) to Medicaid recipients.

Primary care case management or "PCCM" means the same in these rules as defined at 42 C.F.R. § 438.2.

Examples of Primary care case management in a sentence

• Primary care case management services may be provided by qualified medical professionals, licensed to practice in the state where services are being rendered.

• Primary care case management services are described in Sections 560 through 5679 of these rules.

• Primary care case management was the state’s first managed care initiative and was begun in the early 1980s.

• Medicaid services are classified as ‘Other,’ including, for example, PHPs that cover prescription drugs or nonemergency transportation.• Primary care case management (PCCM) plans.

• Managed care organization (MCO), Pre- paid inpatient health plan (PIHP), Pre-paid ambulatory health plan (PAHP), and Primary care case management (PCCM) programs must comply with Federal regulations at 42 CFR Part 438, starting July 1, 2005.

More Definitions of Primary care case management

Primary care case management means the process in which a physician is responsible for direct care of a patient, and for coordinating and controlling access to or initiating and/or supervising other health care services needed by the patient. (6-1-94)

Primary care case management means a system under which:

Primary care case management means responsibility for

Primary care case management means a managed care health service delivery system in which health services are delivered and coordinated by Primary Care Provider/Case Managers.

Primary care case management or "managed care" means promoting the access to, coordination

Primary care case management means a system under which an

Primary care case management or “PCCM” means a system under which a PCCM contracts with the DEPARTMENT to furnish case management services (which include the location, coordination and monitoring of primary health care services) to Medicaid