Chronic Care Management (CCM) is a Medicare program that helps you stay on top of your health between visits. If you live with two or more ongoing health conditions, CCM gives you extra support from our care team, even when you are not in the clinic.
How CCM Helps You
When you enroll in Chronic Care Management (CCM) you will have a dedicated Care Coordinator who checks in with you each month. These touchpoints help us track your progress, answer questions, and coordinate care with other providers or specialists you may see.
CCM benefits include:
- A personalized Comprehensive Care Plan
- Monthly check-ins with your Care Coordinator
- Help managing medications
- Support with referrals and care coordination
- Better communication with your Clinica Sierra Vista care team

Program Requirements
Medicare requires that you:
- Have two or more chronic conditions (we will let you know if you qualify)
- Give consent for Clinica Sierra Vista to provide Chronic Care Management (CCM) services
- Allow secure electronic sharing of your health information with other treating providers when needed for your care
- Understand that only one provider organization can bill Medicare for CCM in a calendar month
- Understand that CCM is a cost-share program under Medicare. Medicare covers most of the cost, and any remaining balance may be billed to you if it is not covered by a secondary plan or Medicare Advantage plan.
CCM services are provided through telephone support with your Care Coordinator, who works closely with your Clinica Sierra Vista provider.
Enrollment
If you choose to enroll, a Care Coordinator will contact you each month. Our CCM team includes Registered Nurses, Licensed Practical Nurses, and trained Medical Assistants who support your care based on your provider’s plan.
Questions?
Call us at (661) 404-1139.
To learn more about Medicare’s Chronic Care Management program, visit www.cms.gov ↗.