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 • CMS Rules and Guidance

Chronic Care Improvement Program

CMS Rules and Guidance

Change Request 3410, Use of Group Health Plan Payment System/MMCS (PDF file)

CMS issued this manual instruction, which describes the changes necessary to use the group health plan payment system to pay capitated payments to chronic care improvement organizations serving Medicare FFS beneficiaries under section 721 of the MMA. The effective date for the change request is Jan. 5, 2005.

This material was posted at the CMS Medicaid and Medicare Program Transmittals Web site, new.cms.hhs.gov/Transmittals/2004Trans/List.asp and published as: CMS Manual System. Pub. 100-04, Medicare Claims Processing, Trans. 256, Change Request 3410 (July 30, 2004).

Change Request 3423, Use of Group Health Plan Payment System/MMCS, Updated List of Plan Numbers (PDF File)

This manual instruction, issued by CMS, defines a list of demonstration plan numbers for the use of the group health plan payment system to pay capitated payments to non-health plan demonstration/program sites that serve Medicare FFS beneficiaries. It includes program numbers for the chronic care improvement program under section 721 of the MMA. The demonstration plans will be added as of Jan. 1, 2005.

This material was posted at the CMS Medicaid and Medicare Program Transmittals Web site, new.cms.hhs.gov/Transmittals/2004Trans/List.asp and published as: CMS Manual System. Pub.100-19, Demonstrations, Trans. 5, Change Request 3423 (Aug. 13, 2004).