Chronic Care Management (CCM)


What We Offer

Support for patients with two or more chronic conditions—every month.

What ConnectedMD Provides

  • Dedicated patient care coordinators

  • Monthly patient outreach and engagement

  • Care plan reinforcement and goal tracking

  • Medication adherence support

  • Escalation to providers using approved protocols

  • CMS-ready documentation and time tracking

  • Audit-ready reporting and dashboards

What Your Practice Controls

  • Clinical oversight and medical decision-making

  • Care plan approval

  • Billing and claims submission

  • The patient relationship

1. Onboard

Comprehensive training equips you and your entire team to confidently launch the program.

2. Identify & Enroll

We identify eligible patients, you approve the eligibility list, and we enroll them in the program.

3. Engage

Each month, we connect with enrolled patients to encourage active participation in their care.

4. Support

We support patients at your practice in achieving positive health outcomes.

5. Measure

We continuously track quality and performance metrics while helping ensure ongoing compliance.

6. Billing

You review and bill, and then we receive payment from you.


Frequently Asked Questions (FAQ)


“Their attention to detail and commitment to quality truly stood out. We’ve already recommended them to others.”

– Former Customer