---
kind: "section"
citation: "42 C.F.R. § 440.168"
title: "42"
number: "440.168"
heading: "Primary care case management services."
url: "https://uscodex.org/cfr/42/440.168"
---

# §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
  - (2) On a mandatory basis under section 1932 (a)(1) of the Act or under [section 1915(b)](/cfr/42/1915.md?p=b) or [section 1115](/cfr/42/1115.md) waiver authority.

## Notes

### 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]