Primary care case management (PCCM) definition
Primary care case management (PCCM) means a system under which a physician acting as a primary care case manager furnishes case management services to FAMIS enrollees pursuant to a contract with DMAS.
Primary care case management (PCCM) means the coordination of health care services under the department's Indian health center or tribal clinic managed care program. See WAC 388-538-068.
Primary care case management (PCCM) means a system under which a primary care case manager contracts with the State to furnish case management services (which include the location, coordination and monitoring of primary health care services) to Medicaid recipients.
More Definitions of Primary care case management (PCCM)
Primary care case management (PCCM) means a system under which a physician
Primary care case management (PCCM) means a system under which a physician acting as
Primary care case management (PCCM) means a system under which a primary care case
Primary care case management (PCCM). A system under which a PCP contracts with the Department to furnish case management services (which include the location, coordination and monitoring of primary health care services) to Medicaid recipients.
Primary care case management (PCCM). A system under which a Primary Care Case Manager contracts with the State to furnish case management services (which include the location, coordination and monitoring of primary health care services) to Medicaid beneficiaries. Primary Care Provider (PCP): The participating physician, physician extender (PA, FNP, CNM), or group practice/center selected by or assigned to the member to manage, provide and coordinate all of the member’s health care needs; to initiate and monitor referrals for specialized services when required; to contribute to the development and implementation of the care treatment plan, and participate in quality of care initiatives and reviews. Program: The method of provision of Title XIX services to South Carolina beneficiaries as provided for in the South Carolina State Plan for Medical Assistance and SCDHHS regulations. Provider Education – Information and training on, at a minimum, evidence- based medicine and Best Practice protocols delivered to the MHN providers. Recipient: A person determined eligible to receive services as provided for in the South Carolina State Plan for Medical Assistance (interchangeable with the term Beneficiary). Social Services: Medical assistance, rehabilitation, and other services defined by Title XIX, USDHHS regulations, and SCDHHS regulations. SCDHHS: South Carolina Department of Health and Human Services. South Carolina State Plan for Medical Assistance: A plan, approved by the Secretary of USDHHS, which complies with 42 U.S.C.A. Section 1396a, and provides for the methodology of furnishing services to beneficiaries pursuant to Title XIX. USDHHS: United States Department of Health and Human Services.