{"data":{"id":"us/42-cfr-440.168","jurisdiction":"us","citation":"42 CFR 440.168","heading":"Primary care case management services.","body":"(a) Primary care case management services means case management related services that—\n(1) Include location, coordination, and monitoring of primary health care services; and\n(2) Are provided under a contract between the State and either of the following:\n(i) A PCCM who is a physician or may, at State option, be a physician assistant, nurse practitioner, or certified nurse-midwife.\n(ii) A physician group practice, or an entity that employs or arranges with physicians to furnish the services.\n(b) Primary care case management services may be offered by the State—\n(1) As a voluntary option under the State plan; or\n(2) On a mandatory basis under section 1932 (a)(1) of the Act or under section 1915(b) or section 1115 waiver authority.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS","PART 440—SERVICES: GENERAL PROVISIONS","Subpart A—Definitions"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"1e7557e7c05fed349c29b86c8f86bed0d0d41346259d2259e71b1ecfb6c33475","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-440.167","next":"us/42-cfr-440.169"},"notice":"GroundRules: Original legal text. Not legal advice."}