Care Management Program

Our experienced care managers can help you understand your benefits and provide personal care planning if you've been diagnosed with a complex medical condition.

Who is eligible?

To be eligible, you must:

• Have an active health care policy administered by us
• Agree to participate in our care management program
• Have a need that requires guidance, counsel, and access to information about chronic and complex conditions (including determining available benefits and resources)

Services offered

• Personalized care and coordination of services provided by a nurse case manager
• Development of a care plan that addresses both your and your physician's health care goals
• Assistance with benefit information to you and your health care team
• Help obtaining referrals to community resources
• Ability to be a liaison between you and your health care team

Learn about our program for children with serious illnesses.

Benefits of care management

• Emphasize the importance of maintaining regular contact with your physician's office
• Inform you about valuable community resources that can help with management of your illness
• Offer tips on how to follow the treatment plan developed by your physician

Consent for care management services

We require your consent to participate in care management for certain conditions.  These conditions include:

• Mental health
• Substance use disorder
• HIV/AIDS

Ways to manage your consent

Please review and complete consent form (online, by fax, or by mail) to take part in care management:

• Case Management Program Consent eform - recommended
• Case Management Program Consent formOpens a PDF - download and send by mail or fax

• Case Management Program Consent form - electronic (recommended)
• Case Management Program Consent formOpens a PDF - download and send by mail or fax

Your completion of this form is your agreement to care management services and supports, which includes collaboration with your treating providers. For minors with substance use disorder or HIV/AIDS conditions, the consent form must be signed by the member themselves. This is because state and federal regulations require the individual to consent to their own care for these conditions regardless of age.

Learn more

• Call 1-877-222-1240 (TTY 711)

Learn about behavioral health care management services.