Care management services are covered under the Medicare program. This is a central location for all care management services, including links to related CMS resources and references.
These services include advanced care planning, chronic care management and transitional care management.
Advance care planning (ACP) is a voluntary, face-to-face service between a physician or other qualified health care professional (QHP) and a patient, family member, caregiver, or surrogate to discuss the patient’s health care wishes if they become unable to make their own medical decisions.
Chronic care management services are covered by Medicare for patients with multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient.
Transitional care management services are covered by Medicare for a patient following a discharge from a hospital, SNF, or CMHC stay, outpatient observation, or partial hospitalization.
General information regarding the Medicare program overall can be found using the topics located on the left navigation bar. Please subscribe to our mailing lists to stay current with Medicare update and changes.