CCM, RPM and BHI for Community Health Centers


Being the leading partner for chronic care management, remote patient monitoring,  and behavioral health integration for community health centers across the country, we know that every health center is different. From partnering with health centers since the launch of virtual care management in 2016, we’ve grown to understand the challenges that Federally Qualified Health Centers and Rural Health Clinics face.


Challenges for Community Health Centers

Drive Patient Engagement and Retention

Health centers must expand care to serve more patients each year, including higher-risk older adults. This needs to be accomplished while demonstrating lower rates of preventable hospitalization and reduced emergency room visits.

Address Social Determinants of Health

Community-based, patient-directed health centers treat underserved patient populations regardless of their socioeconomic status, employment, or income level, all while managing and reducing costs.

Reduce provider fatigue

To reduce high turnover rates, health centers focus on decreasing provider burnout to avoid overworked physicians.

Our Services Help

There are two primary community health center types — federally qualified health centers (FQHCs) and rural health clinics (RHCs). Both FQHCs and RHCs often struggle with financial growth and staffing limitations as well as patients with poor social determinants of health that make care requirements extensive.

TimeDoc Health addresses these challenges with our chronic care management (CCM), remote patient monitoring (RPM), and behavioral health integration (BHI) solutions that expand care for improved patient outcomes and enable community health centers to gain reimbursement for care coordination under CPT code G0511.

We Help You Make Your Health Center Better

By giving you the ability to provide a spectrum of primary care services virtually, we allow you to improve healthcare access in underserved areas. Through our virtual care management software and services, you can expand care to serve more patients each year.

We help you navigate the world of virtual care management, allowing you to engage with underinsured patients through BHI, CCM, and RPM services. By taking advantage of Medicare reimbursement, you can bring care to those who cannot pay out of pocket without impacting your bottom-line.

Consistent patient engagement keeps providers informed of adverse health episodes. This reduces provider burnout by saving them time delivering care during and after appointments, leading to better patient outcomes.

CCM Solutions for Community Health Centers

When caring for patients with chronic diseases, providers need to create ongoing care models in and out of the office. TimeDoc Health offers a CCM platform for managing the many aspects of chronic care.

Our solution integrates with your existing electronic health record system (EHR) to develop metrics-based reports, create and monitor care plans, track time and identify high-risk patients. With our platform, community health centers can address the need for:


  • Staff augmentation: Integrate our platform with our in-house care managers to address gaps in staffing.
  • Program enrollment: Identify the best patients suited for chronic care management.
  • Program awareness: Utilize our patient marketing and enrollment workflows.


Community Health Centers Can Utilize RPM

Remote patient monitoring for community health centers can be challenging with limited resources and staff, but TimeDoc Health offers an accessible solution. 

Our RPM platform extends your health center practice to at-home monitoring. A selection of cellular-enabled devices allows patients to monitor their own vitals. These devices connect to your EHR, and provider teams can receive real-time updates in patient charts. Our devices include:


TimeDoc Health’s RPM platform displays data in tables and graphs, providing accessibility to physicians when they need it. Care teams can also customize alerts for vitals outside acceptable ranges to encourage faster responses to health scenarios. Giving community health centers greater oversight into patient care improves patient health management and reduces avoidable hospitalizations and unnecessary emergency room visits.


BHI for Community Health Centers

Behavioral health integration is common for conditions like anxiety disorders, depression, substance abuse and trauma. It requires a strong relationship between care providers and patients to encourage progress, support early intervention and educate patients on self-management.

TimeDoc Health’s BHI platform uses validated rating scales to assess a patient’s progress. Physicians can establish care plans and track patient status over time through their existing EHRs. Providers can create better patient outcomes and break the behavioral health spiral with a reliable connection to patient progress.

Why Health Centers Love TimeDoc Health

Patient-Centric Focus

From helping with referrals, assisting with transportation, behavioral health management, and more, our solution has helped improve countless patients’ lives across the country.

Flexible Pricing Model

Our care team can serve as an extension of your health center for as many or as few of your patients. The flexible model gives you the freedom to choose care coordination services based on your capacity.

Program Design and Success

From implementation to ongoing delivery, you will have a client success manager to help you every step of the way to ensure that your program is providing the best service to your patients and maximizing revenue for your health center.

Turnkey FQHC/RHC Experience

We work with health centers across the country to implement and grow virtual care management programs, taking the strain off of leadership teams. We specialize in turnkey solutions and have partnered with 70+ health centers to build profitable care management programs.

Hundreds of Healthcare Organizations Trust Us

At TimeDoc Health, we work with over 70 community health centers across the country. Our experience and expertise with these clients and their patient populations help us create care management initiatives that support success for patients and health centers.

Learn More About Our Care Coordination for Community Health Centers

TimeDoc Health gives community health centers the resources they need to improve patient care. You can reach out to us at 1.844.784.8362 or send us an email to receive more information. Request a demo today to try our platform.