Chronic Care Management in Ohio.
Non-face-to-face care coordination for patients with multiple chronic conditions. Medicare billing, Ohio Medicaid coverage, and compliance details for Ohio providers.
How does CCM work for providers in Ohio?
Chronic Care Management (CCM) enables Ohio 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. Medicare covers CCM federally for patients with 2+ chronic conditions. Ohio Medicaid provides full supplementary coverage. CCN Health manages the clinical workflows, care plan documentation, and monthly billing for Ohio organizations running CCM programs.
Medicare Billing
CCM billing in Ohio.
CCM uses federally standardized CPT codes with uniform reimbursement across Ohio. Ohio Medicaid 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. Ohio Medicaid 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
Regulatory Landscape
CCM compliance in Ohio.
Beyond federal Medicare requirements, Ohio has specific telehealth, licensure, and privacy regulations that affect CCM programs.
Telehealth Parity
- *Ohio has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits.
- *Ohio has comprehensive telehealth coverage. Strong support for chronic care management programs.
Interstate Licensure
- *Ohio 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.
CCN Health integrates with leading EHR platforms used by Ohio providers. 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 Ohio questions.
CCM in Ohio uses Medicare CPT codes 99490, 99491, 99439. These are federal codes with uniform reimbursement nationwide, generating ~$80-$130/mo per patient per enrolled patient per month.
Ohio Medicaid provides full supplementary coverage for CCM services. Medicare covers CCM federally for patients with 2+ chronic conditions. Ohio Medicaid provides full supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
Ohio has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits. Ohio is a member of the Interstate Medical Licensure Compact, facilitating cross-state CCM delivery. Ohio has comprehensive telehealth coverage. Strong support for chronic care management programs.
Patients in Ohio qualify for CCM if they have two or more chronic conditions expected to last at least 12 months, such as hypertension, diabetes, COPD, heart failure, or CKD. Each qualifying condition must place the patient at significant risk of death, acute exacerbation, or functional decline.
Ohio has approximately 2.1M residents aged 65+ (18% of the population), with +10% by 2035 projected growth. Cleveland Clinic influence drives innovation adoption. Strong skilled nursing presence. Rural areas particularly benefit from remote monitoring capabilities.
CCN Health helps Ohio providers launch CCM in three steps: (1) Discovery — we assess your EHR, workflows, and patient population; (2) Launch — devices ship to patients, data flows into your EHR automatically; (3) Scale — expand enrollment and add programs as your CCM census grows. Most practices begin billing within 2-4 weeks.
Other Programs
More programs in Ohio.
Explore other Medicare remote care programs available to Ohio 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.