Patient Portal



Patient Portal

Chronic Care Management

Sports Medine Leader in Western ND Dr Tomjack
Back row – Lisa Iverson, RN, and Emily Sexton, RN
Front row – Maria Garcia, CNA, and China Applebee, CNA

Dedicated Care Team


Lisa Iverson, RN Care Team


Emily Sexton, RN Care Team


Maria Garcia, CNA Care Team


China Applebee, CNA Care Team

We Can Help With

  • Ensuring ongoing attention is paid to your medical care needs between doctor visits
  • Establishing new care with medical specialists and community resources
  • Coordinating your care and health records
  • Reminders for preventative services and immunizations
  • Understanding your medications and conditions
  • Creating a care plan with your doctor that includes personalized health goals for you
  • 24-Hour nurse advice hotline to answer any health questions or concerns

Enroll Today

Call 701-444-8789
for more information

Common Questions about CHRONIC CARE MANAGEMENT

Who can use the Chronic Care Managment (CCM) Program?

This program is available to patients with 2 or more chronic conditions (expected to last 12 months or longer), such as hypertension, COPD (chronic obstructive pulmonary disorder), diabetes, and/or CHF (congestive heart failure).

What are chronic care management services?

Available to Medicare recipients who have 2 or more chronic diseases such as hypertension, high cholesterol, diabetes, COPD, congestive heart failure, etc. Chronic Care Management (CCM) helps people with navigating healthcare systems, getting the appropriate appointments, managing their symptoms, receiving preventative healthcare, assisting with home monitoring devices if needed, in an effort to maintain health, prevent or reduce emergency visits, and hospitalization. It is a team approach with the patient, chronic care team, and healthcare providers involved in the plan of care.

How frequent is my contact with my Care Team?

This program helps improve communication among all of your healthcare providers. You should expect to hear from your Care Team monthly. They will be able to help you with questions regarding medications, communicating changes in your healthcare, and scheduling appointments.  

I have diabetes. Do I have to follow a special diet different from my family’s diet?

Eating healthy is one of the keys to managing diabetes; however, healthy eating is the goal for everyone. Healthy eating consists of a well-balanced diet that is lower in carbohydrates, low in saturated fats and sodium, with adequate protein and fiber.

What are the symptoms of diabetes?

The most common symptoms are increased thirst, increased urination, fatigue, visual changes, but oftentimes symptoms can be subtle and go unnoticed.

Is it easy to enroll?

You will need to speak with your doctor regarding your eligibility. If eligible, a signed consent is required to start services and may be canceled anytime.

What will the program cost?

The majority of the Chronic Care Management service is covered by Medicare once your deductible is met. But depending on your plan, you may be responsible for a portion (up to 20%, or about $10 per month). If you have supplemental coverage, your portion may be reduced or at no cost. 

Do you have home health care services?

MCHS has a visiting nurse program for Medicare recipients in need of skilled nursing services ordered by a healthcare provider such as wound care, disease or medication education, disease assessments, medical device care, etc.  Personal care services are available on a limited basis for help with activities of daily living.

Why do some people have to take medications or insulin for diabetes and others just use healthy eating and activity?

It depends on the type of diabetes you have, how much insulin your body can produce and use effectively.

What type of activity is best for someone with diabetes?

An activity that you enjoy and will continue doing. Some people do better with adding extra steps through the day, walking, breaking up sitting times, etc. while others prefer more structure-either longer walks, jogging, swimming, biking, or going to a gym.

Chronic Care Management is Available at the following location:

Rural Health Clinic

709 4th Ave NE
Watford City, ND 58854

(701) 842-3771

Entrance: Use door under the canopy marked Rural Health Clinic.
Parking: In marked MCHS lots directly across from the entrance.