Primary Care Case Management. Medicaid m anaged care option allowed under section 1915(b) o f the Social Security Act in which each participant is assigned to a single primary care provider who must authorize most other services such as specialty physician care before they can be reimbursed by Medicaid. See gatekeeper.
Primary Care Case Manager. An authorized health care provider who agrees to provide primary care services to clients and coordinate other medical care. The PCCM receives a monthly case management fee for each client managed and a fee-for-service reimbursement for medical care provided to the client. See: Managed Care
Primary Care Case Manager. Refer to PCCM for definition. See: Managed Care