Community Care Teams

Community Care Teams (CCTs) are a key element in the Patient Centered Medical Home efforts to improve care and reduce avoidable costs for Maine people, especially those with complex or chronic conditions.

Community Care Teams

Community Care Teams (CCTs) are a key element in the Patient Centered Medical Home efforts to improve care and reduce avoidable costs for Maine people, especially those with complex or chronic conditions.

Maine Patient Centered Medical Home Pilot - Community Care Teams

The Multi-Payer Advanced Primary Care Practice (MAPCP), Medicare's major Patient Centered Medical Home (PCMH) demonstration project provides the Patient Centered Medical Home (PCMH) Pilot in Maine with an opportunity to introduce Community Care Teams (CCTs) as a new component of care for high-needs patients.

WHAT are Community Care Teams (CCTs)?

Community Care Teams (CCTs) recognize that many patients have needs and barriers to care that can reach beyond the capacity of even the most robust primary care physician practice. CCTs are multi-disciplinary, community-based, practice-integrated care management teams that will work closely with the Patient Centered Medical Home (PCMH) Pilot practices to provide enhanced services for the most complex, most high-needs patients in the practice. The CCT model had been established and found to be highly successful in other states, like North Carolina, New York and Vermont. 

Community Care Teams (CCTs) in Maine

Currently, there are Ten Community Care Team (CCT) providers supporting the patients and providers in one or more Maine PCMH Pilot practices.
They are: 

  • Androscoggin Home Care & Hospice
  • AMHC
  • Beacon Health
  • Community Health and Nursing Service (CHANS)
  • Coastal Care
  • DFD Russell Medical Centers
  • Kennebec Valley CCT
  • MaineHealth
  • Community Health Partners
  • Penobscot Community Health Care

Community Care Teams (CCTs) work with Maine Patient Centered Medical Home Pilots

Community Care Teams (CCTs) are a key element in the Patient Centered Medical Home efforts to improve care and reduce avoidable costs for Maine people, especially those with complex or chronic conditions. They are a vital strategy for improving quality and reducing costs and decreasing avoidable hospital admissions, readmissions, and emergency department visits. To learn more about the Maine Patient Centered Medical Home (PCMH) Pilot, click HERE.

Want to learn more?

Watch our "Partnering with Patient" video, which explores what it's like to partner with patients at the primary care practice level.