Welcome to Chronic Care Management (CCM)

The goal of CCM is to help you manage your health conditions and prevent them from getting worse. It's like having a team of cheerleaders on your side, keeping you motivated and on track!

Here's How the CCM Program Works

  • Your health, your goals: We create a personalized care plan just for you, with clear goals and steps to reach them. Think of it as your roadmap to optimal health .
  • Always be in touch: Need help? Got questions? Our care coordinators are just a phone call away, 24/7, even on holidays and weekends.
  • Stay comfy, stay informed: We'll connect with you regularly at home, through phone calls or video chats, to offer support, answer questions, and provide helpful resources.
  • Medications made easy: Managing pills can be a hassle. We'll help you understand and stick to your medication schedule, so you can stay on top of your health.
  • Talking to your other doctors: No more playing phone tag between different offices! We'll bridge the gap and make sure everyone involved in your care is on the same page.
How do I get started with CCM?

You can enroll in Medicare's CCM program if you have two or more chronic conditions. It's super easy to get started. You simply discuss the program with your doctor and let them know you want to enroll.

Once enrolled, one of our care managers will contact you to start the process. If you have any questions, please call us at 919-258-2300. We'll be happy to answer your questions, and provide any information you need to better understand CCM.

Does my insurance cover CCM?

CCM is like hiring a friendly, experienced guide to help you navigate your health journey. The fee is $62 a month, and Medicare will pay 80% of it once you meet your annual deductible. Some secondary insurances will cover the copay. Depending on your coverage, you may or may not pay anything for the service. If you have to pay the copay, it will be somewhere between $10-12 monthly after your deductible is met.

Our team will check your insurance and tell you what to expect financially before you get started in the program. If you do have a copay, it's important to recognize that CCM has the potential to save you a lot of money on out-of-pocket expenses in the longrun. Our goal is to keep you healthy and out of the ER or hospital, which can have super expensive copay bills.

Meet Our Team

When it comes to taking care of patients, experience is the most important thing. Our team’s heritage includes close to 20 years of care management experience working with more than 1.5 million patients.

We're super excited about this chance to partner with you on your health journey. Whether it's through personalized care plans, regular check-ins, or simply being a listening ear, we're here to walk alongside you every step of the way.


Our Care Coordinators are experts in helping you find the resources you need when you need them. Below is an example list of community resources that our Care Coordinators commonly use:

Information and Referral Services
211 Website

Local Health Department
Wake County DHHS - 919-856-6090 | Website

Heating and Cooling Assistance
Wake County Energy Assistance program - 919-212-7000 | Website

Food Assistance
Dorcas Ministries - 919-469-9861 | Website
Wake County Human Services - 919-461-4613 | Website
Inter-Faith Food Shuttle - 919-250-0043 | Website
Meals on Wheels Wake County - 919-833-1749 | Website
The Point Care Center- Food Pantry - Website

Willow Creek Senior Housing - 919-377-8041 | Website
Wake County Housing Authority - 919-269-6404
Western Wake Crisis Ministry- 919-362-0657 | Website
Urban Ministries of Wake County - 919-836-1642

Free or Discounted Health & Dental Care
Mariam Clinic - 919-824-4672 | Website

Diabetes Prevention
YMCA’s Diabetes Prevention Program Information - 919-719-9622 | Website
Generations Longevity Program - 919-852-3999 | Website
Prevent Diabetes NC- 919-302-1675 | Website

Mental Health
Triangle Wellness & Recovery- 919-338-5620 | Website
Cary Behavioral Health - 919-466-7540 | Website
Quartet Health- Website

Grief Support
Thriveworks Grief Counseling- 919-424-6045 | Website
North Raleigh Grief Group - 828-384-8889 | Website

Smoking Cessation
QuiteLine NC- 800-784-8669 | Website
Waves of Change - 919-272-6220 | Website
Duke Center for Smoking Cessation - 919-668-5055 | Website

Dental Care
Wake County Human Services Dental Clinic - 919-250-4610 | Website
New Bern Ridge Pediatric Dental Center - 919-231-3180
Dr. Evelyn Brown (accepts Medicaid) - 919-851-5166

Pain Management
Neurology & Pain Management - 919-893-9700 | Website
Rex Pain Management Center - 984-215-6950

Aging Services
Osher Lifelong Learning Institute “OLLIE” - 919-515-5782 | Website
Council on Aging of Wake County - 919-872-7933
Resources for Seniors, Inc - 919-872-7933

Women's Cancer Survivor Support
Casting Carolinas - 828-407-0560 | Website

LGBTQ Resources
SAGE Central North Carolina - 919-832-4484 | Website
Trevor Project for LGBTQ Youth - 866-488-7386 | Website

Childcare Subsidy
NC DHHS - 919-814-6300 | Website

Autism Services
Autism Society of NC – Raleigh - 919-865-5093 | Website

Suicide Prevention
National Suicide Lifeline - 800-273-8255 | Website
National Hopeline Network - 800-784-2433
Línea directa de suicidio en español - 800-784-2432

Domestic Violence
Sexual Assault Hotline - 800-656-4673 | Website
Domestic Violence Hotline - 800-799-7233 | Website