Ongoing Support for Medicare Patients Living With Chronic Conditions

Support Beyond the Office Visit

Managing chronic conditions often requires more than occasional office visits. Chronic Care Management (CCM) is a Medicare-supported program designed to provide ongoing, proactive care for patients living with two or more chronic health conditions expected to last at least 12 months.

At McCrimmon Primary Care Plus, CCM extends the reach of your primary care team — offering regular check-ins, care coordination, and personalized support between visits. The goal is to help you stay healthier, avoid complications, and feel confident managing your conditions.

Who Is Eligible for Chronic Care Management?

CCM is available to Medicare and Medicare Advantage patients who have two or more chronic conditions such as diabetes, high blood pressure, heart disease, arthritis, asthma, COPD, depression, and more. Participation is voluntary, and our team will review eligibility, benefits, and any potential costs with you before enrollment.

To begin the process, patients should schedule an appointment with a provider to review medical history, confirm eligibility, and discuss whether CCM is right for their care needs.

How Chronic Care Management Supports You

Dedicated Care Team

Ongoing support from a designated care team member who understands your health history and goals.

Personalized Care Planning

A comprehensive care plan tailored to your conditions, medications, and lifestyle needs.

Medication & Symptom Monitoring

Support with medication management, symptom tracking, and early identification of concerns.

Care Coordination

Assistance coordinating care across specialists, labs, imaging, and community resources.

Chronic Care Management FAQs

Have questions about chronic care management services? Below are answers to some of the most common questions we receive. If you need additional guidance, our team is happy to help.

Take a More Supported Approach to Chronic Care

If you’re managing multiple chronic conditions, Chronic Care Management can help keep your care organized, proactive, and connected — all within your primary care home.

Compassionate Care You Can Feel

Our patients are at the heart of everything we do. From welcoming front-desk experiences to attentive provider visits, we’re proud to deliver care that people trust. Here’s what our community has shared about their experiences at McCrimmon Primary Care Plus.