Chronic Disease Management (CDM) Tariffs

The five chronic disease management (CDM) tariffs were introduced to help doctors spend more time with the patients who need it most. These tariffs also acknowledge the link between comprehensive chronic disease management and better patient health.

These tariffs are billable annually for providing comprehensive chronic disease management to a patient with one or more of the following chronic diseases:

  • Diabetes (Effective April 1, 2012)
  • Asthma (Effective April 1, 2012)
  • Congestive Heart Failure (Effective April 1, 2012)
  • Coronary Artery Disease (Effective April 1, 2012)
  • Hypertension (Effective April 1, 2013)

Who can bill these tariffs?

These tariffs may be billed by a General Practice physician who has provided:

  • the majority of a patient’s ongoing comprehensive medical care in relation to the management of the chronic disease in the preceding 12 months;
  • ongoing coordination with other allied health care providers respecting the management of the patient’s condition and patient care plan, as appropriate;
  • ongoing communication with the patient, monitoring of the patient’s condition and patient care plan, as appropriate; and
  • supporting information to Manitoba Health, Seniors and Active Living demonstrating that the patient has received all the required services for the tariff during the preceding 12 months.

This supporting information may be submitted on an approved Patient Care Treatment Form, or by data extract from a Manitoba-approved Electronic Medical Record (EMR) system containing equivalent information.

Click here for more information about eligibility to claim the tariffs.

Chronic Disease Management Patient Care Treatment Indicators Guide

This document has been created to identify the indicators required to assess the medical claim tariff billed against the chronic disease management patient care treatment forms. The purpose of this document is to describe the indicators that Manitoba Health, Seniors and Active Living has adopted for measuring quality processes in primary care, and which are currently used in conjunction with the chronic disease tariff billed through the Claims Unit in Fee-For-Service/Insured Benefits. 


Patient Care Treatment Forms

The following Patient Care Treatment Forms were developed with physician input and reviewed by Doctors Manitoba.

       eForm:

       Fill and Print Forms:

A Patient Care Treatment form is not required in order to bill for Annual Management of Asthma. The physician must complete an Asthma Action Plan (such as the one available here: www.asthma.ca/adults/control/actionPlan.php) and retain the information in the patient’s record.  Remarks on the claim advising that an Asthma Action Plan was completed are sufficient for billing purposes.

Patient Care Treatment Forms may be submitted to Manitoba Health, Seniors and Active Living by mail.

Mail:                                                                             
Insured Benefits
Manitoba Health, Seniors and Active Living
3066-300 Carlton St.
Winnipeg MB  R3B 3M9
Drop off:
Main Floor
300 Carlton Street
Winnipeg MB