Community Care Management (CCM)

Page last updated on: 8/11/25

Applies to:

Group Commercial HMO, EPO, POS and PPO plans

Individual Commercial MyPriority® plans

Medicare

CCM program description

Community Care Management offers our members in need of urgent or more comprehensive behavioral health services access to the care they need to help them avoid inpatient admissions or readmissions. When the member is more stable, services move to a more traditional outpatient therapy model.

Download the CCM provider flyer

Who’s eligible?

CCM is available for adults and children who:

  1. Are transitioning home from an inpatient or partial hospitalization stay.
  2. Are experiencing moderate behavioral health symptoms that impact functioning and quality of life and may benefit from more frequent, short-term, community-based crisis intervention support. 
  3. Could benefit from assistance in accessing traditional outpatient therapy or other longer term supports.

CCM goes beyond traditional outpatient behavioral health care

  • Expedited access to a master's level clinician and psychiatric medication provider who partner to provide intensive support.
  • Visits with a master's level clinician who provides intensive behavioral health support up to three times per week in a flexible location including home, office, community or virtually.
  • Care coordination to help members organize their healthcare needs and share information between their providers.
  • Connection to community resources and support.

How the program works

  • When a referral is made to a provider partner, a coordinator will reach out to the member to schedule the intake. If a member is inpatient when the referral is made, a coordinator may set up a time for the clinician to visit them in the hospital.
  • At intake, a clinician will work with the member to identify areas of need and develop a plan that may include visits up to three times per week.
  • A clinician will also help coordinate appointments and services such as medical visits, transportation, housing and access to other community support.
  • If a member is prescribed psychiatric medication, an appointment will be scheduled immediately with a psychiatrist, physician assistant or nurse practitioner that works alongside a clinician. The member may continue working with the medication prescriber after they’re discharged from the program.
  • When a member is ready to start working with a traditional outpatient therapist, the CCM clinician will connect them to an outpatient therapist who will provide continued support.

Eligibility

Priority Health members with commercial group and individual and Medicare plans are eligible depending on geographic location. Geographic location may also impact whether members have access to in person and/or virtual services.

Members with Medicaid and Healthy Michigan plans aren’t eligible.

Coverage

CCM is a service that applies to the member’s mental health outpatient benefits. Some members have a mental health outpatient benefit that requires a co-pay per visit and others have a deductible to meet and then a percentage of the treatment that’s covered.

Copays are waived for many plans to support access to this program. Waived co-pays don’t apply to self-funded plans.

Referral process

If you have a patient who may benefit from this program, contact our Behavioral Health Department at 800.673.8043 and ask to speak with a clinician. The clinician will check eligibility to ensure CCM is the appropriate level of care.