42 C.F.R. § 440.168 Primary care case management services.
Title 42 - Public Health
(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 (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]
Title 42: Public Health
PART 440—SERVICES: GENERAL PROVISIONS
Subpart A—Definitions
§ 440.168 Primary care case management services.
