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Support and Assistance Available

We offer support and assistance to members who are experiencing immediate and on-going medical conditions or injuries that may require complex, high-intensity, long-term and /or high utilization of services. Our case management team is composed of case management nurses, exceptional needs care coordinators, and behavioral health coordinators.

Case management services target diagnosis-specific conditions, individuals at-risk, special needs, and members that meet the criteria for health plan quality improvement projects or collaborative initiatives.  Referrals can be submitted through member self-referral, health care staff,  physicians, caregiver or  family member,  and facility or agency working with the member who has the benefit.

  • Members and Providers should contact Customer Service to make a referral.
  • No specific form is required.
  • Members in an eligible plan can agree to opt-out of the program when contacted by the case management department.