Chronic Care Management for Medicare Patients
CareSTL Health offers Chronic Care Management (CCM) services to support Medicare patients who are living with two or more chronic health conditions. CCM is an ongoing care program designed to help you stay on track with your health goals, avoid complications, and receive consistent support between your regular office visits.
What Chronic Care Management Includes
Our CCM program provides monthly, personalized care coordination to help you manage your conditions more effectively. Services may include:
A dedicated care coordinator who works with you throughout the month
Regular check‑ins by phone or secure message
Help with medications, refills, and understanding treatment plans
Coordination with specialists, pharmacies, and community resources
Assistance scheduling appointments and preventive screenings
A comprehensive care plan tailored to your health needs
24/7 access to your care plan through our patient portal
Who Qualifies
Medicare patients with two or more chronic conditions—such as diabetes, hypertension, asthma, COPD, heart disease, arthritis, or depression—may be eligible for CCM services.
Why CCM Matters
Chronic Care Management helps you stay connected to your care team, reduces avoidable hospital visits, and ensures you have support managing your health every day—not just during appointments. CCM is a Medicare‑approved program, and many patients find it improves their confidence and understanding of their health.
How to Enroll
If you are interested in joining the CCM program or want to learn more, please contact CareSTL Health. Our team will review your eligibility, explain the program in detail, and help you get started.
We're Here to Help
If you have an emergency requiring immediate medical attention, call 911 or go to your nearest emergency room.
After Hours: 314.273.0935
Have Questions?
Send a non-emergency message via our Patient Portal or visit our FAQ page.
