Integrated Care Management

An integrated whole-person approach that focuses on the four main factors influencing a person's health -- physical, emotional, social challenges and access to health care.

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Integrated Care Management

How to Enroll

Complete the online referral form. A triage coordinator will review your submission to match you to the program that best meets your unique needs. For questions or additional information call:
(800) 922-8778 (option 3, then option 2).

Our Care Management Programs

Conditions and diagnoses can be overwhelming and complex, sometimes requiring additional support and resources. Need help navigating your health care? That’s the basis of our management programs – to provide our members with the high-quality care, attention and support they need for their physical health, mental health, substance abuse and overall well being.

Learn more about our case and chronic condition management programs and the benefits of enrolling.

 Case ManagementChronic Condition
Management
Description

Program for members with complex medical, mental health and/or substance abuse issues. We're committed to providing you with the care and individualized support you need.

Program for members with persistent health conditions. We want to assist you in achieving and maintaining your health, throughout a variety of means.

We also provide Rare Chronic Condition Management for members with high-cost and rare conditions.

Examples
  • Cancer
  • Depression
  • HIV
  • Catastrophic health events
  • Complicated high-risk pregnancies
  • Asthma
  • COPD
  • Diabetes
  • Heart Failure
  • Heart Disease
Level of Care

One-on-one support and guidance from an in-house registered case manager. Frequent follow-up, support and care coordination.

Licensed nurses and social workers offer high-quality care and support to meet your needs. All clinicians are trained and certified in case management which focuses on medical and mental health and substance abuse support.

Focus is on providing members the tools, support and education they need to self-manage their condition. Less contact and care coordination.

Licensed nurses will provide proactive and personalized education and coaching.

Participation
  • Free
  • Voluntary
  • Any diagnosis is eligible
  • Free 
  • Voluntary

 

Enroll today by filling out our online referral form.

For questions and additional information call (800) 922-8778 (option 3, then option 2).
 

Rare Condition Management

For members with high-cost and rare conditions, such as neurologic, rheumatologic or gastrointestinal disorder we provide a partnership with AccordantCare®. This company proactively supports and empowers individuals with rare conditions to improve their total health and manage complex needs. Visit the Accordant website for more information on this program, or call our Customer Service team at (800) 247-2583 with questions about accessing these services.

Examples of rare conditions:

  • ALS
  • Crohn's disease
  • Cystic fibrosis
  • Epilepsy
  • Multiple sclerosis
  • Parkinson's disease
  • Rheumatoid arthritis
  • Sickle cell disease