7.7.10.1 Case Management FeeThe case management fee is administrative compensation for managing the medical care of PCCM clients who have either selected or who have been assigned to the primary care provider's practice as their medical home. The fee:
•
• Two reports are made available to primary care providers on a monthly basis. The client panel report lists the PCCM clients who have selected or who have been assigned to each primary care provider's practice. This report is available electronically at www.tmhp.com, or in hard copy by calling the PCCM Provider Helpline at 1-888-834-7226. The second report, a case management summary, is produced by TMHP and accompanies the case management fee check. If there are any discrepancies in either report, providers are to contact their TMHP provider relations representative. Providers are to call the Provider Helpline at 1-888-834-7226 prior to returning a check. This allows PCCM to provide the necessary research and assistance. Refer to: "Monthly Client Panel Report" . |
Is paid to the primary care provider whether or not the client is seen that month.
