TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 140 MEDICAL PAYMENT
SECTION 140.990 PRIMARY CARE CASE MANAGEMENT PROGRAM


 

Section 140.990  Primary Care Case Management Program

 

The Primary Care Case Management Program (PCCM) is a managed care model in which each enrollee has a medical home with a Primary Care Provider (PCP).  Enrollees may pick their own doctor or clinic as their PCP if that provider is enrolled with HFS as a PCP.  A medical home ensures that a single PCP knows about health care their enrollees receive and helps ensure enrollees get immunizations and other preventive health care, prevents duplication of services, ensures enrollees receive the most appropriate level of care, provides specialty referrals where appropriate, and improves the quality of care that an enrollee receives.

 

(Source:  Added at 31 Ill. Reg. 388, effective December 29, 2006)