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.