§440.168. Primary care case management services.
42 C.F.R. § 440.168
Primary care case management services means case management related services that—
Include location, coordination, and monitoring of primary health care services; and
Are provided under a contract between the State and either of the following—
A PCCM who is a physician or may, at State option, be a physician assistant, nurse practitioner, or certified nurse-midwife.
A physician group practice, or an entity that employs or arranges with physicians to furnish the services.
Primary care case management services may be offered by the State—
As a voluntary option under the State plan; or
On a mandatory basis under section 1932 (a)(1) of the Act or under section 1915(b) or section 1115 waiver authority.
Notes, amendments, and revision history
Amendments
[67 FR 41115, June 14, 2002]
Authority
Authority: 42 U.S.C. 1302.
Source
Source: 43 FR 45224, Sept. 29, 1978, unless otherwise noted.
Amendments
[67 FR 41115, June 14, 2002]