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

• Preferred Provider Organization (PPO) — A Commonwealth licensed person, partnership, association or corporation which establishes, operates, maintains or underwrites in whole or in part a preferred provider arrangement as defined in 31 Pa. Code 152.2. Primary Care Case Management (PCCM) — A program under which the Primary Care Practitioners agree to be responsible for the provision and/or coordination of medical services to Recipients under their care.

• The SCDHHS will perform periodic medical audits through contractual arrangements to determine if the Contractor furnished quality and accessible health care to Medicaid MHN program members in compliance with this contract and with the regulations pertaining to Primary Care Case Management programs found in 42 CFR 438.

• Printed Name: IL Medicaid ID# (if applicable): Signature: Date: Attachment to the Primary Care Provider Agreement The following list provides the key responsibilities and standards that Primary Care Providers (PCPs) participating in Illinois’ Primary Care Case Management (PCCM) are expected to generally meet, consistent with their scope of practice.

• By July 1997, the program was implemented statewide using a combination of managed care organizations (MCOs) and a Primary Care Case Management (PCCM) delivery system.

• Any provider who holds a fee for service contract and also executes a contract with a provider in the Primary Care Case Management SoonerCare Choice program shall must adhere to the rules of this subsection regarding assignment.

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

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 responsibility for

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