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.
You can now access care plans online through the Provider Portal to easily provide input into your patients’ care plans and consult with care managers.
Care Management Program
CareSource’s Care Management program fully integrates physical health, behavioral health, functional needs, and social determinants of health. Our Integrated Care Management program connects members and their families and/or caregivers with a care team to develop an integrated care plan to address all their needs. It combines population health management with a holistic member-centric approach to deliver services across the continuum of care.
Our one-on-one personal interaction with outreach specialists, nurse care coordinators, and social workers helps support your CareSource patient through the following:
- Initial and ongoing assessment activities
- Coordination of care
- Education to promote self-management
- Providing additional community resources
Disease Management Program
Members with certain chronic conditions will be automatically enrolled into the enhanced disease management program. If they choose not to participate in the disease management program, they may opt out by calling 1-844-438-9498.
We offer individualized education and support for many conditions and needs, including:
Asthma | Attention Deficit Hyperactivity Disorder (ADHD) | Autism Spectrum Disorder/Pervasive Developmental Disorder | Chronic Kidney Disease | Chronic Obstructive Pulmonary Disease |
Congestive Heart Failure | Coronary Artery Disease | Depression | Diabetes | Hepatitis C |
Human Immunodeficiency Virus (HIV) | Hypertension | Pregnancy | Sick Cell Disease | Substance Use Disorder (SUD) |
Members enrolled in a program will receive free information to help them better manage their condition and care options to discuss with their provider(s).
Members identified as high risk will have a nurse assigned to their case to help educate, coordinate and provide resources and tools to help the member reach their health care goals.
How to Refer Members to a Disease Management Program
If you have a patient with one of the conditions listed above who you believe would benefit from this program and is not already enrolled, call us at 1-844-438-9498.
Want More Information?
For questions not addressed on our website, please contact the CareSource Care & Disease Management department at 1-844-607-2831.