42 CFR 440.168
§ 440.168 Primary care case management services.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 440.168, § 440.168 Primary care case management services, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/206221
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Full text
(a) Primary care case management services means case management related services that—
(1) Include location, coordination, and monitoring of primary health care services; and
(2) Are provided under a contract between the State and either of the following:
(i) A PCCM who is a physician or may, at State option, be a physician assistant, nurse practitioner, or certified nurse-midwife.
(ii) A physician group practice, or an entity that employs or arranges with physicians to furnish the services.
(b) Primary care case management services may be offered by the State—
(1) As a voluntary option under the State plan; or
(2) On a mandatory basis under section 1932 (a)(1) of the Act or under section 1915(b) or section 1115 waiver authority.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.