Primary Care Case Management (PCCM), is a program of the United States government healthcare service Medicaid.
[1] In the mid-1980s, states began enrolling beneficiaries in their PCCM programs in an attempt to increase access and reduce inappropriate emergency department and other high cost care.
In their earliest forms, PCCM programs closely resembled traditional fee-for-service Medicaid than managed care.
As PCCM programs matured, state goals have expanded to improving quality of care provided.
These include payment innovations; increased care management resources; improved performance monitoring and reporting; increased resources for management of serious and complex medical conditions; and a variety of “medical home” innovations, including performance-based reimbursement, better use of information technology, increased contact with patients, and efforts to provide additional resources for physician offices.