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Primary Care Case Management (PCCM)
Managed Care

MaineCare managed care is a Primary Care Case Management (PCCM) benefit for eligible MaineCare members (primarily the TANF population ~ Temporary Aid for Needy Families). MaineCare managed care is a mandatory benefit through an amendment to the State Plan. The State of Maine Department of Health and Human Services, Office of MaineCare Services, is continuously recruiting primary care providers (PCPs) to join MaineCare managed care.

 

  • MaineCare managed care is a mandatory program through an approval by the Center for Medicare and Medicaid Services (CMS), previously known as Health Care Financing Administration (HCFA)
  • The State of Maine Department of Health and Human Services, Office of MaineCare Services, is continuously recruiting primary care providers (PCPs) to join MaineCare managed care
  • Primary Care Provider Network Services aims to increase PCP site participation, continue to increase MaineCare members’ access to care, and to enhance the State’s network of services to members

 

The primary objectives of MaineCare managed care are to:

  • Recognize primary care providers for quality of patient care
  • Improve MaineCare members’ access to providers
  • Have MaineCare members establish a “medical home”
  • Increase continuity of care
  • Strengthen the patient and provider relationship
  • Reduce unnecessary utilization and expenditures