CCM Study Guide 2026

Shared decision-making is a collaborative process where clients and providers jointly deliberate on treatment options.

All the listed items—language barriers, gestures, taboos, cultural traditions, beliefs in religion and spirit, and conflicts involving religion and culture—are essential components of a comprehensive cultural and religious assessment. This assessment helps case managers understand a client's background, values, and beliefs to provide culturally sensitive, respectful, and effective care that aligns with their worldview.

Continuity of care refers to coordinated, uninterrupted care across different settings, providers, and time periods to prevent service gaps and fragmentation.

A functional assessment evaluates the client's capacity to perform activities of daily living (ADLs) and instrumental ADLs, determining their level of independence and care needs.

The fundamental reason for measuring outcomes is to provide objective data that shows how case management activities lead to improved client health, better resource utilization, and enhanced quality of care. This demonstrates the program's value to clients, healthcare organizations, and payers.

Capitation pays a fixed PMPM amount to cover all contracted services, incentivizing efficient coordination.