Case management pccm form 2025

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PCCM is primary care case management. PCP is primary care provider.
MCO refers to risk-based managed care; PCCM refers to Primary Care Case Management. FFS/Other refers to Medicaid beneficiaries who are not in MCOs or PCCM programs.
Primary Care Case Management (PCCM) is a system of managed care in the US used by state Medicaid agencies, in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service
The patient-centred clinical method (PCCM) is a conceptual approach to providing health care, is characterized by a full exploration of the patients concerns within the context of their lives and mutually agreeing on the path forward, all within strong relationships with the health care team.
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