This site contains extensive information on various Medicare disease management programs. It is updated by Atlantic Information Services, Inc. (visit www.AISHealth.com).

dmprograms.com • Chronic Care Improvement Program • Program Announcement and Supplemental Materials

Chronic Care Improvement Program

The following documents are the Phase I program announcement and supplemental materials for MMA Section 721, the Chronic Care Improvement Program (SSA § 1807).

Phase I, Voluntary Care Improvement Under Traditional Fee-For-Service Medicare

Federal Register Notice, Phase I (PDF file)
This document provides information regarding Phase I of this program, including important information on completion of the application. The material was published in 69 Fed. Reg. 22065 (April 23, 2004) and is available at: http://a257.g.akamaitech.net/7/257/2422/14mar20010800/
edocket.access.gpo.gov/2004/pdf/04-9127.pdf.

FFS Beneficiaries with COPD and High HCC Risk (PDF file)
This is a listing of counties whose beneficiaries have COPD and high (above 1.34) hierarchal conditions category (HCC) risk as defined by Medicare Eligibility and Claims Data, CY 2002. The material was posted at the CMS Web site www.cms.hhs.gov/ccip/.

FFS Beneficiaries with CHF and/or Diabetes (PDF file)
This is a listing of counties whose beneficiaries have CHF and/or diabetes and high (above 1.35) hierarchal conditions category (HCC) risk as defined by Medicare Eligibility and Claims Data, CY 2002. The material was posted at the CMS Web site www.cms.hhs.gov/ccip/.

Disease Cohort Definition Criteria (Sample) (PDF file)
This sample was created for CMS by Medstat and is provided at the CMS Web site as the National Sample Data Dictionary. It is available at www.cms.hhs.gov/ccip/.

National Sample File of Medicare Beneficiaries (PDF file)
CMS has provided this document as the national sample file of Medicare beneficiaries. It was created by Medstat for public dissemination. It is available at www.cms.hhs.gov/ccip/.

Episode Grouper (PDF file)
CMS has posted this document, Medstat’s Episode Grouper, to explain the data found in the two charts below. The Medstat document was posted for public dissemination at www.cms.hhs.gov/ccip/.

CHF/Disease Cohort-Episodes and Comorbidities: Top 25 by Payments (PDF file)
This Medstat chart was posted for dissemination by CMS at www.cms.hhs.gov/ccip/. For more information refer to the Episode Grouper.

COPD Cohort-Episodes and Comorbidities: Top 25 by Payments (PDF file)
This Medstat chart was posted for dissemination by CMS at www.cms.hhs.gov/ccip/. For more information refer to the Episode Grouper.

Utilization and Spending Profile of CCIP Populations (PDF file)
CMS posted this document at www.cms.hhs.gov/ccip/. It was produced and released to the public by the Health Insurance Reform Project at the George Washington University.

Rates and Reasons for Loss of CCIP Eligibility (PDF file)
CMS posted this document at www.cms.hhs.gov/ccip/. It was produced and released to the public by the Health Insurance Reform Project at the George Washington University.

Utilization and Spending Profile of CCIP Populations by Medicaid Buy-in (Dual Eligible) (PDF file)
CMS posted this document at www.cms.hhs.gov/ccip/. It was produced and released to the public by the Health Insurance Reform Project at the George Washington University.

Rates and Reasons for Loss of CCIP Eligibility by Dual Eligible Status (PDF file)
CMS posted this document at www.cms.hhs.gov/ccip/. It was produced and released to the public by the Health Insurance Reform Project at the George Washington University.

Bidder’s Conference Materials (PDF file)
This document is a reformatted version of the Chronic Care Improvement Program’s bidder’s conference program. The original documents are no longer available.