What is Care Management?
Care Management is a team-based service where a care plan is created based upon your individual needs and the recommendations of your healthcare provider(s). It is a way to coordinate healthcare, provide support and create and achieve goals.
Why is it important?
Care Management is important for our patients who have a new diagnosis of a serious health condition, multiple chronic health conditions, recent hospitalizations or recent visit(s) to the emergency department. Working together with you and your healthcare provider(s), our care manager will create an individualized care plan in an effort to:
What can I expect when I meet with my Care Manager?
Your first visit may last up to 60 minutes. You will be asked many questions to determine your needs and together you will create a plan of care which includes goal setting and determining solutions to barriers you face relating to reaching your health goals. There will be periodic follow-ups ( in person and/or via telephone) with you to review your health goals and level of wellness.
Feel free to bring your spouse or caregiver with you to these appointments
Members who reside in regions 2,3,5,7,8 or 9 may need to select a new Medicaid Health Plan. Those members should watch for a letter from MDHHS/the State telling you to pick a new plan. Mailings from the State are projected to begin on August 26, 2024. The letter will list your options for Medicaid health plan selection. We encourage you to enroll in Molina Medicaid Plan. If you do not make a choice by September 17, 2024, you will be auto assigned using a State algorithm on September 18, 2024, to one of the new plans entering the region.
If your preferred PCP isn’t listed on the letter, you can still select a plan and be auto assigned to a PCP. Then, when your preferred PCP is available, you can call the plan’s customer service team to request a change in your PCP assignment. A Northern Pines Health Center provider must be listed as your PCP PRIOR to services being rendered to ensure Medicaid coverage.
You can contact Michigan Enrolls to inquire or to pick a new plan – but you may not be able to until MDHHS opens enrollment changes to Members impacted by the Plans exiting.
MI ENROLLS Beneficiary Help Line: 1-800-975-7630
