Chronic Care Management in Maryland.
Non-face-to-face care coordination for patients with multiple chronic conditions. Medicare billing, Maryland Medicaid coverage, and compliance details for Maryland providers.
How does CCM work for providers in Maryland?
Chronic Care Management (CCM) enables Maryland providers to bill Medicare for non-face-to-face care coordination using CPT codes 99490, 99491, 99439. Patients with two or more chronic conditions qualify — common combinations in Maryland include heart disease, diabetes, hypertension. Medicare covers CCM federally for patients with 2+ chronic conditions. Maryland Medicaid provides partial supplementary coverage. Serving 1.0M seniors with +20% by 2035 projected growth, Maryland's CCM market is expanding. CCN Health manages clinical workflows, care plan documentation, and monthly billing — integrating with 5+ major health systems including Johns Hopkins Health System and MedStar Health running CCM programs. As an Interstate Medical Licensure Compact member, Maryland facilitates cross-state CCM delivery.
Medicare Billing
CCM billing in Maryland.
CCM uses federally standardized CPT codes with uniform reimbursement across Maryland. Maryland Medicaid provides partial supplementary Medicaid coverage for dual-eligible patients.
CCM services, first 20 min of clinical staff time per month
CCM services requiring physician/QHP, first 30 min/month
Each additional 20 min of CCM clinical staff time
~$80-$130/mo per patient
20 minutes of non-face-to-face care coordination per month (99490); 30 minutes for complex CCM (99491)
Medicare covers CCM federally for patients with 2+ chronic conditions. Maryland Medicaid provides partial supplementary coverage.
Billing Requirements
Patient must have two or more chronic conditions expected to last at least 12 months
Comprehensive care plan must be established and maintained
Patient consent documented in medical record
24/7 access to care team required
Continuity of care with designated practitioner
Maryland Medicaid Supplement
Maryland Medicaid provides partial supplementary coverage — check current Maryland Medicaid fee schedules for dual-eligible CCM rates. Maryland's telehealth parity law supports remote CCM delivery at equivalent reimbursement rates.
Regulatory Landscape
CCM compliance in Maryland.
Beyond federal Medicare requirements, Maryland has specific telehealth, licensure, and privacy regulations that affect CCM programs.
Telehealth Parity
- *Maryland has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits.
- *Maryland has comprehensive telehealth parity. Unique all-payer rate setting model encourages preventive care including remote monitoring.
Interstate Licensure
- *Maryland is a member of the Interstate Medical Licensure Compact, enabling physicians licensed through the compact to provide CCM services across state lines.
EHR Integrations
CCM-compatible EHRs.
Major Maryland health systems like Johns Hopkins Health System and MedStar Health use EHR platforms that CCN Health integrates with. Each integration includes automated CCM documentation, billing, and clinical workflows.
PointClickCare
889 integration guides
ALIS
887 integration guides
Ethizo
240 integration guides
athenahealth
240 integration guides
Charm Health
240 integration guides
MatrixCare
240 integration guides
Epic
240 integration guides
August Health
240 integration guides
FAQ
CCM in Maryland questions.
Maryland's dense healthcare market and 5+ major health systems like Johns Hopkins Health System and MedStar Health create strong infrastructure for CCM adoption. Maryland Medicaid offers partial supplementary coverage for dual-eligible patients. Maryland's membership in the Interstate Medical Licensure Compact enables cross-state CCM delivery. High prevalence of heart disease, diabetes, hypertension among Maryland's patient population drives CCM enrollment.
Maryland Medicaid provides partial supplementary coverage for CCM services. Medicare covers CCM federally for patients with 2+ chronic conditions. Maryland Medicaid provides partial supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
Maryland has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits. Maryland is a member of the Interstate Medical Licensure Compact, facilitating cross-state CCM delivery. Maryland has comprehensive telehealth parity. Unique all-payer rate setting model encourages preventive care including remote monitoring.
With 1.0M residents aged 65+, Maryland has a large CCM-eligible population — patients with two or more chronic conditions. Common multi-morbidity combinations in Maryland include heart disease with diabetes, and hypertension with heart disease. Maryland's +20% by 2035 senior population growth means CCM demand is accelerating.
Maryland has approximately 1.0M residents aged 65+ (16.1% of the population), with +20% by 2035 projected growth. Proximity to DC creates dense healthcare market. Johns Hopkins drives innovation. All-payer model creates unique incentives for chronic care management and preventive monitoring.
CCM in Maryland must comply with federal Medicare billing requirements and HIPAA. Maryland does not currently have a comprehensive state privacy law beyond HIPAA, but standard patient consent and data security requirements apply. As an Interstate Medical Licensure Compact member, Maryland allows compact-licensed physicians to deliver CCM services across state lines. Maryland has comprehensive telehealth parity. Unique all-payer rate setting model encourages preventive care including remote monitoring.
This page provides general informational guidance only and does not constitute legal, compliance, or billing advice. Telehealth regulations, Medicaid coverage, and state privacy laws change frequently. Verify current requirements with your state health department, payers, and qualified healthcare compliance counsel before making program decisions. Demographic data is based on U.S. Census Bureau estimates. Data last verified: March 2026.
Other Programs
More programs in Maryland.
Explore other Medicare remote care programs available to Maryland providers.
RPM
Remote Patient Monitoring
Real-time vital sign monitoring with FDA-cleared cellular devices.
PCM
Principal Care Management
Focused management of a single high-complexity chronic condition.
BHI
Behavioral Health Integration
Behavioral health screening and collaborative care in primary care settings.
RTM
Remote Therapeutic Monitoring
Therapy outcome monitoring for musculoskeletal and respiratory rehabilitation.