Chronic Care Management in Washington.
Non-face-to-face care coordination for patients with multiple chronic conditions. Medicare billing, Apple Health coverage, and compliance details for Washington providers.
How does CCM work for providers in Washington?
Chronic Care Management (CCM) enables Washington 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 Washington include heart disease, diabetes, depression. Medicare covers CCM federally for patients with 2+ chronic conditions. Apple Health provides full supplementary coverage. Serving 1.3M seniors with +25% by 2035 projected growth, Washington's CCM market is expanding. CCN Health manages clinical workflows, care plan documentation, and monthly billing — integrating with 5+ major health systems including Providence and MultiCare Health System running CCM programs. As an Interstate Medical Licensure Compact member, Washington facilitates cross-state CCM delivery.
Medicare Billing
CCM billing in Washington.
CCM uses federally standardized CPT codes with uniform reimbursement across Washington. Apple Health 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. Apple Health 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
Washington Medicaid Supplement
Apple Health provides full supplementary coverage for dual-eligible CCM patients. Providers can bill both Medicare and Medicaid to maximize reimbursement for CCM services. Washington's telehealth parity law supports remote CCM delivery at equivalent reimbursement rates.
Washington-Specific Billing Considerations
Washington My Health My Data Act compliance required
Enhanced consent requirements for health data
Regulatory Landscape
CCM compliance in Washington.
Beyond federal Medicare requirements, Washington has specific telehealth, licensure, and privacy regulations that affect CCM programs.
Telehealth Parity
- *Washington has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits.
- *Washington was one of the first states with telehealth parity. Apple Health provides comprehensive coverage for remote monitoring.
Interstate Licensure
- *Washington 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
- *My Health My Data Act applies to care coordination records and patient communication data stored during CCM activities.
- *Shared care plans must comply with both HIPAA and My Health My Data Act data handling requirements.
Additional Requirements
- *Washington My Health My Data Act compliance required
- *Enhanced consent requirements for health data
EHR Integrations
CCM-compatible EHRs.
Major Washington health systems like Providence and MultiCare Health System use EHR platforms that CCN Health integrates with. Each integration includes automated CCM documentation, billing, and clinical workflows.
PointClickCare
665 integration guides
ALIS
663 integration guides
MatrixCare
663 integration guides
August Health
663 integration guides
Ethizo
240 integration guides
athenahealth
240 integration guides
Charm Health
240 integration guides
Epic
240 integration guides
FAQ
CCM in Washington questions.
Washington's mix of urban centers and rural communities means CCM serves both high-volume practices affiliated with systems like Providence and MultiCare Health System and remote clinics where in-person visits are difficult. Apple Health provides full supplementary coverage, maximizing dual-eligible revenue. Washington's membership in the Interstate Medical Licensure Compact enables cross-state CCM delivery. High prevalence of heart disease, diabetes, depression among Washington's patient population drives CCM enrollment.
Apple Health provides full supplementary coverage for CCM services. Medicare covers CCM federally for patients with 2+ chronic conditions. Apple Health provides full supplementary coverage. For dual-eligible beneficiaries, providers can bill both Medicare and Medicaid to maximize reimbursement.
Washington has telehealth parity legislation requiring CCM services to be reimbursed at equivalent rates compared to in-person visits. Washington is a member of the Interstate Medical Licensure Compact, facilitating cross-state CCM delivery. Washington was one of the first states with telehealth parity. Apple Health provides comprehensive coverage for remote monitoring.
With 1.3M residents aged 65+, Washington has a large CCM-eligible population — patients with two or more chronic conditions. Common multi-morbidity combinations in Washington include heart disease with diabetes, and depression with heart disease. Washington's +25% by 2035 senior population growth means CCM demand is accelerating.
Washington has approximately 1.3M residents aged 65+ (16% of the population), with +25% by 2035 projected growth. Seattle metro area is tech-savvy with high telehealth adoption. Eastern Washington has rural telehealth needs. My Health My Data Act creates strict privacy requirements.
CCM in Washington must comply with federal Medicare billing requirements and HIPAA. Washington's My Health My Data Act adds state-level data protection requirements for patient health information collected through CCM devices and platforms. As an Interstate Medical Licensure Compact member, Washington allows compact-licensed physicians to deliver CCM services across state lines. Additional Washington-specific requirements include: Washington My Health My Data Act compliance required; Enhanced consent requirements for health data. Washington was one of the first states with telehealth parity. Apple Health provides comprehensive coverage for 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 Washington.
Explore other Medicare remote care programs available to Washington 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.