Understanding Advanced Primary Care Management 2025

Advanced Primary Care Management (APCM) pays over $110 per patient per month and replaces Chronic Care Management (CCM), starting January, 2025.

CMS description of Advanced Primary Care Management Services

WARINING: G0558 only appliess to QUALIFIED MEDICARE BENIFICIARIES (a low-income Medicare beneficiary who receives help paying for Medicare Part A and Part B premiums, deductibles, and coinsurance) You can still use G0557 ($52.65/month) for regular Medicare patients.

You still need to document a care plan for your 2+ chronic care conditions.

Our packet of PDF care plans can be used for your APCM program.