Advanced Primary Care Management (APCM)
Your Trusted Source for APCM Information, Education, News, Insights & Resources

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Advanced Primary Care Management (APCM)
Stay informed on Medicare’s new APCM program for 2025!

Subscribe to the APCM Newsletter

Advanced Primary Care Management (APCM)

Your Trusted Source for News, Insights & Resources

Stay informed on Medicare’s new APCM program for 2025 – simplified explanations, expert analysis, and real-world updates
to help you understand how Advanced Primary Care Management works and what it means for your practice.

Subscribe to the APCM Newsletter

What is Advanced Primary Care Management?

Advanced Primary Care Management (APCM) is Medicare’s newest value-based care model designed to streamline chronic condition management, improve patient outcomes, and provide predictable monthly payments for primary care providers.

Unlike Chronic Care Management (CCM), APCM uses a bundled payment model – no 20-minute call minimums – making it easier to deliver population-based care without overloading your staff.

APCM Payment Rates

G0556: ≥1 chronic condition — $15 per patient/month
G0557: ≥2 chronic conditions — $50 per patient/month
G0558: ≥2 chronic conditions + QMB* — $110 per patient/month

You can view the official CMS Physician Fee Schedule for the full G-code definitions and reimbursement details.

*QMB stands for Qualified Medicare Beneficiary, a program that helps low-income individuals with limited resources pay for their Medicare costs. Specifically, it covers Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments. QMB also has specific income and asset limits that beneficiaries must meet to qualify.

Learn More → (link to About APCM)

Why APCM Matters in 2025

For Providers:

New recurring revenue stream from Medicare
Reduced administrative burden compared to CCM
Compatible with many ACO and PCF arrangements

For Patients:

More proactive monthly outreach & follow-up
Better post-hospital and post-ER care coordination
Support for medication adherence and preventive care

How the APCM Program Works — In 4 Steps

Step 1 | Identify

Identify eligible Medicare patients from your panel

Step 2 | Enroll

Enroll patients with documented consent

Step 3 | Manage

Manage care plans, monthly touchpoints, and care transitions

Step 4 | Bill

Bill using new APCM G-codes (G0556–G0558)

Free Download — APCM Quick Start Checklist

Get our free APCM Implementation Checklist to see the exact steps and requirements
for enrolling patients and billing Medicare under the new model.

What’s Inside:
Step-by-step APCM participation guide
Official G-code payment rates from CMS
Common compliance pitfalls to avoid

How to Get It:
Click below to subscribe to the APCM Newsletter and we’ll send your checklist instantly.

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We monitor CMS announcements and rulemaking to bring you the latest APCM program changes, Medicare updates, and best practices.

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