(Updated March 22, 2018)
Provider Delivered Care Management for Specialists
The Provider Delivered Care Management-specialist program will begin on July 1, 2017. This program was previously called PDCM Oncology, which is being incorporated into the new PDCM-specialist program.
Practitioners in the following specialty types who meet the Patient-Centered Medical Home-Neighborhood capability, training, and care plan requirements may bill PDCM codes.
- Palliative care specialists
- Orthopedic surgeons
At this time, there will be no value-based reimbursement associated with the PDCM-specialist program, but value-based reimbursement may be implemented in the future. For details about the criteria to participate in the PDCM-specialist program, please see the PDCM Frequently Asked Questions document, available by emailing firstname.lastname@example.org.
A summary of BCBSM PDCM programs and the care management training criteria is identified in the table below. For details about the criteria to participate in the PDCM-specialist program, please see the PDCM Frequently Asked Questions document, available by emailing email@example.com
- To access the MiCMRC PDCM online training Click Here
- BCBSM PDCM online billing training - See Billing Webinar below
Note: For Care Management Billing resources Click Here
For questions regarding courses or for additional information, please contact firstname.lastname@example.org