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 services means case management related services that include the locating, coordinating, and monitoring of health care services provided by a primary care case management provider under contract with the State agency as set forth in § 438.6(j).

• Primary care case management was defined in the business case for integrated care.

• Year implemented200420072006† Primary care case management program‡ Health maintenance organization∫ Fee-for-service Data analysisReported achievement for quality indicators will be calculated as Ni/Di. Rates of exclusion (for the Quality and Outcomes Framework) will be calculated as Ei/(Di +Ei).

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 means a managed care health

Primary care case management or "PCCM" means a system under which a primary care

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