Enhancing Health Through Compassionate, Coordinated Primary Care
At Consultative Health and Medicine, we are proud to deliver a Collaborative Model of Care that emphasizes attentive, relationship-based, and compassionate primary care. Our model is designed specifically to support seniors living in assisted living, memory care, and skilled nursing communities, with a focus on maximizing health, comfort, and quality of life.
As part of our commitment to providing the highest level of care, we participate in Medicare’s Advanced Primary Care Management (APCM) and Chronic Care Management (CCM) programs. These innovative care models align with our mission by promoting proactive, coordinated, and person-centered care.
What Our Collaborative Care Model Includes:
At Consultative Health and Medicine, we are proud to deliver a Collaborative Model of Care that emphasizes attentive, relationship-based, and compassionate primary care. Our model is designed specifically to support seniors living in assisted living, memory care, and skilled nursing communities, with a focus on maximizing health, comfort, and quality of life.
Regular In-Person Visits – Our nurse practitioners meet face-to-face with each patient every 1-2 months to proactively monitor chronic conditions, manage medications, and address any new or acute medical concerns.
24/7 Clinical Oversight – We provide continuous oversight and timely responses to changes in a resident’s health status—helping to prevent unnecessary hospitalizations and emergency room visits.
Care Coordination Across Providers – We collaborate closely with facility staff, specialists, pharmacists, and families to ensure all aspects of care are aligned and clearly communicated.
Individualized Care Plans – Each patient benefits from a personalized care plan based on their unique medical history, preferences, and evolving needs.
How APCM and CCM Benefit Our Patients:
Advanced Primary Care Management (APCM) – Through Medicare’s APCM model, we offer enhanced primary care services that prioritize continuity, proactive interventions, and coordination. This means more time with patients, improved communication, and better health outcomes.
Chronic Care Management (CCM) – For patients with multiple chronic conditions, CCM provides regular check-ins, ongoing care planning, and access to a dedicated care team that works to reduce complications and improve day-to-day wellness.
Peace of Mind for Families. Better Health for Residents.
Our participation in these Medicare programs reflects our ongoing dedication to high-quality, compassionate senior care. We are here to be a trusted partner in every patient’s health journey.
Frequently Asked Questions
Who is eligible for APCM and CCM services?
Any Medicare beneficiary with one or fewer chronic conditions is eligible for APCM services and beneficiaries with two or more chronic conditions are eligible for CCM services. A chronic condition is one considered to pose significant health risks and expected to persist for at least a year or until death.
How is this different from the care I already receive?
CH&M has always provided comprehensive, relationship-based care. By enrolling in APCM and CCM, Medicare now reimburses CH&M for the additional care and coordination we provide between visits—such as coordinating with facility staff and families, managing medications, reviewing labs, completing forms and authorizations, and communicating with hospitals and specialists. APCM/CCM provides payment that helps us continue delivering the high-touch, proactive care our patients rely on.
Why would I want APCM/CCM services?
Shortly after enrolling, you will receive an individualized care plan reflecting your personal goals for care, health care needs, treatments and preventive services.
APCM and CCM ensures you receive more consistent attention, fewer disruptions in care, and better coordination across all your providers. It adds more support during transitions in care, improving your recovery and overall experience.
Who can provide APCM/CCM services?
Physicians, Nurse Practitioners and Physician Assistants can bill Medicare for APCM and CCM services provided by themselves or other licensed professionals in their group. Only one provider can bill for APCM or CCM services in a calendar month.
Can I stop receiving APCM or CCM services?
Medicare Beneficiaries are entitled to terminate Advanced Primary Care Management or Chronic Care Management services at any time.
How are services billed?
Face-to-Face NP and MD visits are billed to Medicare and your insurance when they occur.
APCM or CCM services are billed monthly to Medicare and your insurance.
Original Medicare plus Supplemental Plan
- Medicare typically covers 80% of the allowable amount (after annual deductible).
- Supplemental insurance pays the remaining 20% (after annual deductible).
- If you do not have supplemental insurance, you may be responsible for the remaining 20%.
Medicaid/Medical Assistance
- Services are fully covered.
Medicare Advantage Plans
- UCare and Medica: as in-network providers, our services are fully covered.
- Other Advantage Plans: you may have a co-pay or co-insurance depending upon your out-of-network coverage. Contact your insurance company for specific information.