What Is Chronic Care Management (CCM) and Does Medicare Cover It? | Accura Health
Chronic Care Management — Accura Health
Primary & Post-Acute Care

What Is Chronic Care Management (CCM) and Does Medicare Cover It?

Accura Health Team | June 2026 | 7-minute read
At a Glance
What You Will LearnKey Takeaway
What CCM isA Medicare-covered program of ongoing, coordinated support for people with two or more chronic conditions.
Does Medicare cover itYes, under Part B. Medicare pays 80%; you pay the remaining 20% after your deductible.
Your 2026 costAbout $7–$15/month after the $283 Part B deductible — often $0 with Medicaid or a Medigap plan.
Who qualifiesMost patients with 2+ chronic conditions expected to last 12 months or longer.
What it includesMonthly check-ins, medication management, care coordination, and 24/7 access to your care team.
How to startContact Accura Health to confirm eligibility and enroll.

Living with one chronic condition is hard enough. Managing two or more — with separate medications, specialists, and instructions — can feel overwhelming, and it's easy for things to slip through the cracks between visits. Chronic Care Management was built to close those gaps.

According to the Centers for Medicare & Medicaid Services (CMS), more than 68% of Medicare beneficiaries have two or more chronic conditions, and the majority of Medicare spending goes toward managing them. At Accura Health, we offer Chronic Care Management as part of both our primary care and post-acute care services because managing chronic illness shouldn't stop when you leave the clinic.

What Is Chronic Care Management?

Chronic Care Management (CCM) is a care-coordination program covered by Medicare and many private insurers for patients with two or more chronic conditions expected to last at least 12 months or until the end of life. Under the program, your provider's team delivers at least 20 minutes of non-face-to-face care each month. That includes:

  • Regular monthly check-ins by phone or telemedicine
  • Medication reviews and adjustment recommendations
  • Coordination between your specialists, pharmacies, and hospitals
  • A comprehensive, personalized care plan
  • 24/7 access to a member of your care team for urgent concerns

If you manage multiple conditions and feel like things fall through the cracks between appointments, CCM is designed exactly for you.

Schedule a CCM consultation at Accura Health today.

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Does Medicare Cover Chronic Care Management?

Yes. Original Medicare (Part B) covers CCM as a separately billable service. Medicare pays 80% of the approved amount, and you're responsible for the remaining 20% after your Part B deductible. You can read Medicare's own overview on the Medicare.gov chronic care management page.

Coverage isn't limited to Original Medicare, either:

  • Medicare (Part B): Covered. You pay the standard 20% coinsurance after the deductible; many supplemental plans cover that share.
  • Medicare Advantage (Part C): Covered. MA plans must include at least the same benefits as Original Medicare; copays vary by plan.
  • Private insurance: Many private insurers now offer CCM or similar care-management benefits — ask our team to verify yours.
  • Medicaid: Coverage varies by state. In Texas, some Medicaid managed-care plans include chronic care management.

Not sure about your benefits? Let our team check your eligibility.

Check Coverage →

How Much Does CCM Cost in 2026?

$283
2026 Medicare Part B annual deductible
~$7–15
Typical monthly out-of-pocket (often $0 with Medigap/Medicaid)

For most people, CCM costs very little. After you meet the 2026 Part B deductible of $283, Medicare covers 80% of the approved amount and you pay the remaining 20% coinsurance — roughly $7–$15 per month for standard (non-complex) CCM.

If you have Medicaid, a Medicare Supplement (Medigap) plan, or other secondary insurance, that coinsurance is often picked up for you, which can mean $0 out of pocket. The American Medical Association notes that patients enrolled in CCM show measurable reductions in hospital readmissions and ER visits — so a few dollars a month can prevent far costlier care.

Who Qualifies for Medicare CCM?

Eligibility comes down to three things:

1

Two or More Qualifying Chronic Conditions

The conditions must be expected to last 12 months or longer (or until end of life) and don't have to be related — for example, diabetes and depression qualify, just as COPD and chronic kidney disease would. Common qualifying conditions include diabetes, high blood pressure, heart disease, COPD or asthma, arthritis, depression or anxiety, chronic kidney disease, and Alzheimer's or dementia.

2

Your Signed Consent

You provide written or verbal consent to enroll. Only one provider can bill CCM for you at a time, there's no obligation, and you can leave the program whenever you choose.

3

A Comprehensive Care Plan

Your care team builds a detailed plan covering all of your conditions, medications, goals, and next steps — then reviews and updates it regularly. Not sure if you qualify? Contact us or ask at your next visit and we'll review your history.

What Does Chronic Care Management Look Like at Accura Health?

At Accura Health, CCM isn't a checkbox program — it's an extension of the relationship-based care we already provide across our primary care and post-acute care services. Here's what you can expect:

Monthly Care Coordination

A dedicated team member checks in each month to review symptoms, medications, and any changes — usually by phone or video.

Medication Management

If you take several prescriptions, we make sure nothing conflicts, doses are optimized, and refills stay on track.

Specialist Coordination

Seeing a cardiologist, endocrinologist, and a mental-health provider? We connect the dots so nothing falls through the cracks.

24/7 Access

Enrolled patients can reach their care team around the clock for urgent questions — reducing unnecessary emergency room visits.

Support for Homebound Patients

For patients receiving care at home through our post-acute care services, CCM integrates seamlessly with physician housecalls, in-home nursing, and remote patient monitoring.

Ready to experience truly coordinated care?

Book an Appointment →

5 Signs You Should Ask Your Doctor About CCM

If any of these sound familiar, it may be time to talk to our team:

1

You Take Medications for Multiple Conditions

You sometimes struggle to track dosages, refills, or interactions across more than one ongoing condition.

2

No One Is Coordinating the Bigger Picture

You see several specialists but feel like no one connects the overall view of your health.

3

You Have Been Hospitalized or Visited the ER

You've had a hospitalization or ER visit in the past year for something that could have been managed earlier with closer monitoring.

4

You Feel Overwhelmed Managing Your Health

Keeping up with diet, exercise, medications, and appointments across several conditions at once feels like too much.

5

You Need Consistent Support Between Visits

Especially if you're homebound or have limited mobility — our physician housecalls and remote patient monitoring can bridge that gap alongside CCM.

Key Takeaways

  • CCM is a Medicare-covered program for patients with two or more chronic conditions lasting 12 months or longer.
  • Original Medicare (Part B), Medicare Advantage, and many private plans cover it; Medicaid varies by state.
  • In 2026, most patients pay about $7–$15/month after the $283 Part B deductible — often $0 with Medigap or Medicaid.
  • CCM provides monthly check-ins, medication management, specialist coordination, and 24/7 care-team access.
  • At Accura Health, CCM is integrated across primary care and post-acute care, including telemedicine and in-home services.
  • If you have two or more chronic conditions and feel things are slipping through the cracks, it's time to ask about CCM.

Take the first step toward better-managed chronic care.
If you have two or more chronic conditions and want ongoing support between visits, we're here to help.

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Frequently Asked Questions About Chronic Care Management
QHow is chronic care management different from regular doctor visits?

Regular visits address concerns during a scheduled appointment. CCM provides continuous care between visits — monthly check-ins, medication reviews, and coordination across all your providers — so nothing gets missed.

QCan I enroll in CCM if I don't have Medicare?

Yes. While Medicare Part B is the most common payer, many Medicare Advantage and private plans also cover CCM. Ask our team to verify your benefits.

QHow much will I pay for CCM in 2026?

After the $283 Part B deductible, most patients pay about $7–$15 per month. With Medicaid or a Medigap plan, your out-of-pocket cost is often $0.

QDo I have to come into the clinic for CCM services?

No. Most CCM happens by phone or video. For homebound patients, our post-acute care team can integrate CCM with in-home visits and remote patient monitoring.

QCan I leave the program if I change my mind?

Absolutely. Enrollment is voluntary — you can opt out any time by telling your care team, with no penalty.

QHow do I get started?

Simply call us at (972) 430-2040 or book an appointment online. We'll review your conditions, confirm eligibility, and walk you through enrollment.

References

  1. Centers for Medicare & Medicaid Services. Chronic Care Management Services. cms.gov
  2. Medicare.gov. Chronic care management services. medicare.gov
  3. Centers for Medicare & Medicaid Services. 2026 Medicare Parts A & B Premiums and Deductibles. cms.gov
  4. American Medical Association. Chronic Care Management: What Physicians Need to Know. ama-assn.org
  5. Centers for Disease Control and Prevention. About Chronic Diseases. cdc.gov