Which Patients Are Eligible?

According to CMS, the eligible patient population is Medicare patients with “multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient, and for whom the chronic conditions place the patients at significant risk of death, acute exacerbation or decompensation, or functional decline.”

Using 2010 data, a CMS study found that more than two-thirds of Medicare patients had two or more chronic conditions.

Examples of chronic conditions include, but are not limited to, the following:

Alzheimer’s disease and related dementia

Arthritis (osteoarthritis and rheumatoid)

Asthma

Atrial fibrillation

Autism spectrum disorders

Cancer

Chronic Obstructive Pulmonary Disease

Depression

Diabetes

Heart failure

Hyperlipidemia

Hypertension

Ischemic heart disease

Osteoporosis

Chronic Care Management main page

Last Updated On

May 13, 2016