[Code of Federal Regulations]

[Title 42, Volume 3]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR440.168]



[Page 243-244]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 440_SERVICES: GENERAL PROVISIONS--Table of Contents

 

                          Subpart A_Definitions

 

Sec. 440.168  Primary care case management services.



    (a) Primary care case management services means case management 

related services that--

    (1) Include location, coordination, and monitoring of primary health 

care services; and

    (2) Are provided under a contract between the State and either of 

the following:

    (i) A PCCM who is a physician or may, at State option, be a 

physician assistant, nurse practitioner, or certified nurse-midwife.

    (ii) A physician group practice, or an entity that employs or 

arranges with physicians to furnish the services.

    (b) Primary care case management services may be offered by the 

State--

    (1) As a voluntary option under the State plan; or



[[Page 244]]



    (2) On a mandatory basis under section 1932 (a)(1) of the Act or 

under section 1915(b) or section 1115 waiver authority.



[67 FR 41115, June 14, 2002]