Chronic Care Management in Minnesota.
Non-face-to-face care coordination for patients with multiple chronic conditions. Medicare billing, Medical Assistance coverage, and compliance details for Minnesota providers.
How does CCM work for providers in Minnesota?
Chronic Care Management (CCM) enables Minnesota 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 Minnesota include heart disease, diabetes, COPD. Medicare covers CCM federally for patients with 2+ chronic conditions. Medical Assistance provides full supplementary coverage. Serving 0.9M seniors with +22% by 2035 projected growth, Minnesota's CCM market is expanding. CCN Health manages clinical workflows, care plan documentation, and monthly billing — integrating with 6+ major health systems including Mayo Clinic and Allina Health running CCM programs. As an Interstate Medical Licensure Compact member, Minnesota facilitates cross-state CCM delivery.
Medicare Billing
CCM billing in Minnesota.
CCM uses federally standardized CPT codes with uniform reimbursement across Minnesota. Medical Assistance provides full 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. Medical Assistance provides full 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
Minnesota Medicaid Supplement
Medical Assistance provides full supplementary coverage for dual-eligible CCM patients. Providers can bill both Medicare and Medicaid to maximize reimbursement for CCM services. Minnesota's telehealth parity law supports remote CCM delivery at equivalent reimbursement rates.
Minnesota-Specific Billing Considerations
Minnesota Health Records Act provides additional patient privacy protections
Regulatory Landscape
CCM compliance in Minnesota.
Beyond federal Medicare requirements, Minnesota has specific telehealth, licensure, and privacy regulations that affect CCM programs.
Telehealth Parity
- *Minnesota has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits.
- *Minnesota was an early telehealth adopter. Medical Assistance and MinnesotaCare provide comprehensive remote monitoring coverage.
Interstate Licensure
- *Minnesota is a member of the Interstate Medical Licensure Compact, enabling physicians licensed through the compact to provide CCM services across state lines.
State Privacy Law
- *MN Health Records Act applies to care coordination records and patient communication data stored during CCM activities.
- *Shared care plans must comply with both HIPAA and MN Health Records Act data handling requirements.
Additional Requirements
- *Minnesota Health Records Act provides additional patient privacy protections
EHR Integrations
CCM-compatible EHRs.
Major Minnesota health systems like Mayo Clinic and Allina 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 Minnesota questions.
Minnesota's mix of urban centers and rural communities means CCM serves both high-volume practices affiliated with systems like Mayo Clinic and Allina Health and remote clinics where in-person visits are difficult. Medical Assistance provides full supplementary coverage, maximizing dual-eligible revenue. Minnesota's membership in the Interstate Medical Licensure Compact enables cross-state CCM delivery. High prevalence of heart disease, diabetes, COPD among Minnesota's patient population drives CCM enrollment.
Medical Assistance provides full supplementary coverage for CCM services. Medicare covers CCM federally for patients with 2+ chronic conditions. Medical Assistance provides full supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
Minnesota has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits. Minnesota is a member of the Interstate Medical Licensure Compact, facilitating cross-state CCM delivery. Minnesota was an early telehealth adopter. Medical Assistance and MinnesotaCare provide comprehensive remote monitoring coverage.
With 0.9M residents aged 65+, Minnesota has a large CCM-eligible population — patients with two or more chronic conditions. Common multi-morbidity combinations in Minnesota include heart disease with diabetes, and COPD with heart disease. Minnesota's +22% by 2035 senior population growth means CCM demand is accelerating. Minnesota's high Medicare Advantage penetration means many seniors are already enrolled in plans that support CCM.
Minnesota has approximately 0.9M residents aged 65+ (15.8% of the population), with +22% by 2035 projected growth. Mayo Clinic and strong health systems drive innovation. Extensive rural areas benefit from remote monitoring. Leading state in value-based care and population health management.
CCM in Minnesota must comply with federal Medicare billing requirements and HIPAA. Minnesota's MN Health Records Act adds state-level data protection requirements for patient health information collected through CCM devices and platforms. As an Interstate Medical Licensure Compact member, Minnesota allows compact-licensed physicians to deliver CCM services across state lines. Additional Minnesota-specific requirements include: Minnesota Health Records Act provides additional patient privacy protections. Minnesota was an early telehealth adopter. Medical Assistance and MinnesotaCare provide comprehensive remote monitoring coverage.
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 Minnesota.
Explore other Medicare remote care programs available to Minnesota 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.