Care Management Services

Our Health Home helps to facilitate the health and recovery of each patient by coordinating with Care Management Agencies. These agencies offer access to a broad range of services, including:

Comprehensive Care Management

Comprehensive Care Management offers clients access to more timely and appropriate care based on a comprehensive assessment of medical, behavioral, rehabilitative and social needs.

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Care Coordination & Health Promotion

Care Coordination is about working with treating clinicians to ensure that client services are provided and changes in treatment or medical conditions are addressed as needed.

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Comprehensive Transitional Care

Transitional Care is follow-up care. It can include working with hospitals and ERs to facilitate care prior to discharge into the community, as well as working in residential/rehabilitative settings, following up with Care Teams and assessing goals.

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Member & Family Support

Care Management facilitates collaboration between providers, clients, family and support members to establish a continuing plan of care, including referrals to additional support services based on client need.

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Referral and Community & Social Support Services

Care Management also identifies resources within the community and helps the client receive services as needed. This can be clinical and require a referral, or a non-clinical service such as housing, transportation, etc.

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If you’re interested in seeing if you are eligible to receive Care Management services through a Health Home, visit Who is Eligible or call us toll-free at 1-855-784-1262.