The requirement is at least 20 minutes of non-face-to-face clinical time directed by a physician or other qualified healthcare professional per calendar month. These are the required elements:

  • Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient*
  • Comprehensive care plan established, implemented, revised, or monitored
*Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline.