Care And Disease Management

CareSource® offers care and disease management that can provide a broad spectrum of educational and follow-up services for your patients.

Care Management Program

CareSource’s Care Management program is a fully integrated health management program that strives for member understanding of and satisfaction with their medical care. This one-on-one personal interaction with outreach specialists and case managers provides a comprehensive safety net to support your CareSource patient through initial and ongoing assessment activities, coordination of care, education to promote self-management and healthy lifestyle decisions. In addition, we help connect your patient with additional community resources.

We offer individualized education and support for many conditions and needs, including:

  • Asthma
  • Diabetes
  • Heart disease
  • Depression
  • High blood pressure and cholesterol
  • Low back pain
  • Pregnancy
  • Weight loss

You can now access care plans online through the Provider Portal to easily provide input into your patients’ care plans and consult with case managers.

How to Refer Members to Care Management

Together, we can make it easier for members to manage their care. If you know of a member who may benefit from the Care Management program, please call us at 1-844-679-7867.

View the Care Management Referral Flier

Disease Management Programs

Our free disease management programs help our members find a path to better health through information, resources and support.

We help our members through:

  • The MyHealth online program for members 18+ to participate in a journey to improve their health
  • Newsletters with helpful tips and information to manage their disease, promote self-management skills, and provide additional resources
  • Coordination with outreach teams
  • One-to-one care management

Members with specific disease conditions are identified by criteria or triggers such as emergency room visits, hospital admissions, and the health assessment. These members are automatically mailed condition-specific newsletters. The materials are available in English and Spanish. Any member may self-refer or be referred into the Disease Management Programs to receive condition-specific information or outreach. If a member does not wish to receive newsletters or outreach, they can call 1-844-438-9498.

Benefits to Member and Providers

The Disease Management program improves the percentage of CareSource members who receive their recommended screenings. It also offers the following benefits to members:

  • Assistance finding the appropriate level of care for their condition
  • Encouragement to actively participate in the patient-provider relationship

The Disease Management Program provides aid to patients experiencing conditions considered high risk by NCQA, like the following:

  • Chronic Obstructive Pulmonary Disease (COPD)
  • Alzheimer’s and other dementia related disorders
  • Chronic Kidney Disease
  • Depression
  • Heart Failure
  • Atrial Fibrillation
  • Stroke or Transient Ischemic Attack (TIA)

If you have a patient with a chronic condition whom you believe would benefit from our Disease Management program, please call 1-844-438-9498.