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MLN909188 – Chronic Care Management Services

This revised Product comprises Subregulatory Guidance for affected providers and its content is based on publicly available content within at https://www.cms.gov/Center/Provider-Type/Federally-Qualified-Health-Centers-FQHC-Center, https://www.cms.gov/Center/Provider-Type/Rural-Health-Clinics-Center, https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS, and https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Care-Management. CMS policy or operation subject matter experts also reviewed/cleared this product. This Product educates providers on the background on payable Chronic Care Management (CCM) service codes, names eligible billing practitioners and patients, and details the Medicare Physician Fee Schedule (PFS) billing requirements. Revisions to this Product

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: July 01, 2019

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.