Section 440.168 - Primary care case management services(a) Primary care case management services means case management related services that- (1) Include location, coordination, and monitoring of primary health care services; and(2) Are provided under a contract between the State and either of the following:(i) A PCCM who is a physician or may, at State option, be a physician assistant, nurse practitioner, or certified nurse-midwife.(ii) A physician group practice, or an entity that employs or arranges with physicians to furnish the services.(b) Primary care case management services may be offered by the State- (1) As a voluntary option under the State plan; or(2) On a mandatory basis under section 1932 (a)(1) of the Act or under section 1915(b) or section 1115 waiver authority. 67 FR 41115 , June 14, 2002