About Patient-Centered Medical Home (PCMH)

What is PCMH?

Whether you’re trying to get healthy or stay healthy, you need the best care. That’s why CareFirst has created a program to improve health care quality and help slow rising health care costs over time. The focus is on you and your health.

Our Patient-Centered Medical Home (PCMH) Program focuses on the relationship between you and your primary care provider (PCP) so your PCP has a more complete view of your health needs and of the care you’re receiving from other providers.

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NOTE: The doctors and other medical providers are independent providers making their own medical determinations and are not employed by either CareFirst BlueCross BlueShield or CareFirst BlueChoice.

Extra Care for Certain Health Issues

When you participate in PCMH, your PCP will take specific steps to coordinate and manage your care. If you have certain health issues, your PCP will create an online record of your health needs with specific follow-up activities.

If you have a chronic condition — such as Diabetes, Coronary Artery Disease, Hypertension — or are at risk for one, your PCP may:

  • Create a Care Plan based on your health needs with specific follow-up activities to help you manage your health
  • Provide access to a care coordinator, who is a registered nurse (RN), so you have the support you need, answers to your questions and information about your care