Chronic Care Management Service

Chronic Care Management Services in Northeastern, Indiana

What is Chronic Care Management?

Chronic Care Management (CCM) is a program supported by Medicare where it focuses on helping patients with two or more chronic health conditions.  A chronic condition can limit some of your daily activities that have lasted longer than a year.  The CCM program can help with coordinating medications, appointments, therapies, and other services in your community. This program can help you feel more in control of your conditions.

How Do I Get Medicare Chronic Care Management?

Simply ask your physician about signing up for CCM, or your physician’s office may reach out to you if you are a good candidate. Your physician or a member of their team will go over the process and allow you to ask questions. You will be asked to sign a consent form to become active in the program, but you can cancel this program at any time.

Chronic Medical Conditions

The U.S. National Center for Health Statistics defines a chronic disease as lasting 3 months or more, that cannot be prevented by a vaccine, nor can be cured by treatment. Common qualifying chronic conditions for CCM services include:

  • Alzheimer’s
  • Arthritis
  • Asthma
  • Autism
  • Cancer
  • Dementia
  • Depression
  • Diabetes
  • Hypertension, or high blood pressure
  • Lupus
  • Multiple Sclerosis
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What is a Comprehensive Care Plan?

Once it has been determined that a patient qualifies for chronic care management, a nurse care manager will conduct a phone or video conversation with the patient. This will help to determine any current treatments the patient is undergoing, concerns, or goals the patient may have. The nurse care manager will then put together a comprehensive care plan specific to the patient.

The patient will have monthly calls with a nurse care manager who works directly with the physician’s office to assure that all the patient’s needs are being met.

A comprehensive care plan outlines:

Personal information: name, date of birth, home address, and phone number

Patient goals: each set of goals will be tailored to the specific needs of the patient

Current health care providers: a primary care physician, psychiatrist, or psychologist for example

Non-medication treatments that may benefit the patient: utilizing a therapist


Current, diagnosed chronic medical conditions: anxiety, depression, or diabetes for example

Current medications: both over the counter and prescription medications should be recorded for accurate record-keeping

Why Choose Cameron Hospital Chronic Care Management?

Chronic care management is about more than just alleviating long-term symptoms that may arise from a chronic condition; it is designed to provide each patient with a fully customized comprehensive plan while also ensuring all concerns of both the patient and the family are addressed.

At Cameron Hospital, we understand the added stress multiple chronic medical conditions can add to a person. Our team is dedicated to providing each patient with the same high-quality, personalized care.

No two comprehensive care plans will be the same as no two patients are the same. Chronic care management is an additional resource available to those with chronic conditions for added support from medical professionals at Cameron Hospital without having to leave the comfort of your home. Contact Cameron Memorial Hospital today to learn more about our Chronic Care Management Program.


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