MLN Product (Revised); Transitional Care Management Services (MLN908628) May 2023
This revised product comprises Subregulatory Guidance for the Transitional Care Management Services and its content is based on publicly available content from the 2013 Medicare Physician Fee Schedule Final Rule https://www.federalregister.gov/documents/2012/11/16/2012-26900/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-dme-face-to-face & Care Management https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Care-Management and E/M visits at https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Evaluation-and-Management-Visits.
CMS policy subject matter experts also reviewed/cleared this product. This product educates providers on service settings, components, billing services and which health care professionals can furnish TCM services.
It contains no substantive content updates. The previous version of this product, dated August 2022, is available to the public and currently posted on the CMS website at: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Transitional-Care-Management-Services-Fact-Sheet-ICN908628.pdf
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 02, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.