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Services

MedicaidPrimary Services

  • Medicaid Assesment
  • Primary Care Consultant
  • Behavioral Consutant
  • Substance Abuse Consultant

Who is Eligible?

If you have Medicaid, including:

  • Univera
  • Fidelis
  • Wellcare

If you have at least 2 or more chronic conditions or having one chronic condition and are at risk for a second such as:

  • Asthma
  • High Blood Pressure
  • Diabetes
  • AIDS/HIV
  • Obesity
  • Depression
  • Bipolar Disorder
  • Kidney Disease
  • Heart Disease
  • Lupus
  • Generalized Anxiety
  • Stroke
  • Arthritis
  • Mental Health/Behavioral
  • Addictions

What's in it for me?

What is Coordinated Care or Comprehensive care management?

  • Care coordination
  • Health promotion
  • Comprehensive transitional care/follow-up
  • Patient & family support
  • Referral to community & social support services?

The Care Coordination team will work with you to understand what you need to stay healthy.

  • You may need housing.
  • You may need help getting enough food.
  • You may need transportation, to appts.
  • You may have problems getting your medications or taking them.
  • You may use the emergency room a lot or end up in the hospital often.

Health HomeOnce the Coordinated Care team knows what you need, they will work with you and the Health Home team to help you linked to those services and to teach you how to stay healthy.

What is a Health Home?

A Health Home is a group of health and community agencies that have agreed to work together to help people with many health issues get linked with what they need to keep them healthier and safer in the community.

Health Homes providers: will integrate and coordinate all primary, acute, behavoiral health, and long-term services and supports to treat the whole person.

 

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