Primary Care Case 
Management Program

The Primary Care Case Management (PCCM) program provides health care services for most people with Medicaid in 202 Texas counties. [map of counties] [list of counties]

People with PCCM coverage choose a primary care provider for health-care services.  A primary care provider can be a doctor, a clinic, an OB/GYN (doctor for women’s health), a physician’s assistant, or a specially trained nurse. The primary care provider is the person or health-care center that will provide most of a client’s health-care services.

PCCM covers all Medicaid benefits including:

• Choice of doctors (clients can choose a primary care provider).
• Prescription drugs and medical supplies.
• Access to medical specialists when needed.
• Hospital care and services.
• X-rays and lab tests.
• Mental health care.
• Coverage for pre-existing conditions.
• Family planning services and supplies.
• OB/GYN (doctor for women’s health) services.
• Outpatient surgery.
• Home health agency services (health care at home).
• Eye exams and glasses.
• Shots for children and teenagers.
• Chiropractic (back doctor) services.
• Podiatry (foot doctor) services.

People with PCCM coverage can get help by calling:

• The nurse helpline: A registered nurse can answer questions about health problems and is available 24 hours a day. Call toll free 1-800-304-5468.
• The PCCM Helpline: Get answers to questions about Medicaid benefits. Call toll free
  1-888-302-6688.

More information for people with PCCM coverage is available at: www.tmhp.com/C8/PCCMClients/default.aspx