Care And Disease Management
HAP CareSource™ offers care and disease management that can provide a broad spectrum of educational and follow-up services for your patients.
Care Management Program
HAP 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 nurse care coordinators provides a comprehensive safety net to support your HAP 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.
HAP CareSource encourages you to take an active role in your patients’ Care Management programs and participate in the development of individualized care plans to help meet their needs. Together, we can make a difference.
You can now access care plans online through the HAP CareSource provider portal to easily provide input into your patients’ care plans and consult with care managers.
Children’s Special Health Care Services
If your patient has a serious chronic medical condition, they could be eligible for Children’s Special Health Care Services (CSHCS) plan. This program services children (and some adults) with special health care needs at no cost to the member. HAP CareSource collaborates with providers for CSHCS enrollees. If you have questions regarding your patient, please contact the Care Management department at 1-844-217-1357, Monday through Friday from 8 a.m. to 5 p.m.
Health Care Transition
The Health Care Transition (HCT) program facilitates the process of moving from a child/family-centered health care model to an adult/patient-centered model, starting prior to the age of 14 and continuing into young adulthood for CSHCS enrollees. The goal of HCT is to assist youth in achieving independence in self-managing their health care needs as they enter adulthood.
Hepatitis C Treatment
Hepatitis C Virus (HCV) is the most common bloodborne infection in the United States. People with HCV often do not feel sick and when they do, it is often a sign of advanced liver disease. The CDC recommends screening at least once in a lifetime to all adults 18 and up, as well as with each pregnancy.
Michigan’s We Treat Hep C Initiative increases access to necessary medications such as MAVYRET for Medicaid beneficiaries by removing the prior authorization requirements and dispensing the medication in an eight-week supply (or a 12-week supply, when appropriate). This allows your patients to begin treatment the same day as their diagnosis. HAP CareSource collaborates with providers to promote access and medication adherence. For question or to discuss a patient, pharmacists are available at 1-833-230-2102. Additional resources can be located online. View the HEP C Virus Frequently Asked Questions for Providers to learn more.
Elevated Blood Lead Level Program
There is no safe level of lead in the blood. If your patient has an elevated blood lead level and needs assistance coordinating resources, please contact the Care Management department at 1-844-217-1357, Monday through Friday from 8 a.m. to 5 p.m. or submit a referral via the HAP CareSource provider portal.
HIV Resources
The Ryan White HIV/AIDS Program (RWHAP) provides a comprehensive system of HIV primary medical care, medication and essential support services to more than half a million people diagnosed with HIV in the United States. Access our HIV Toolkit for additional resources.
How to Refer Members to Care Management
If you have a patient with a chronic condition who you believe would benefit from support and they are not currently enrolled, please call 1-844-217-1357. The Care Management team can also facilitate referrals to assist with palliative care needs. If you have a patient who can benefit from palliative care services, please call our Care Management team.
Disease Management Support
Our free Disease Management Support helps 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
- One-to-one care management
Members with specific disease conditions such as asthma, diabetes, chronic kidney disease, end stage renal disease, and hypertension are identified by criteria or triggers such as emergency room visits, hospital admissions, and the health assessment. All ages (children, teens, and adults) are eligible. These members may receive outreach and educational materials from our Care Management or Disease Management teams. Any member may self-refer or be referred to receive disease management support and condition-specific information or outreach. If a member does not wish to receive information or outreach, they can call 1-844-217-1357.
Benefits to Members and Health Partners
Members identified for Disease Management Support receive help finding the appropriate level of care for their condition, and they are encouraged to actively participate in the patient-provider relationship. The program improves the percentage of HAP CareSource members who receive their recommended screenings.
How to Refer Members with Disease Specific Conditions
If you have a patient with asthma, diabetes, CKD, ESRD or hypertension who you believe would benefit from disease management support and is not currently enrolled, please call 1-844-217-1357.
Health Needs Assessment
HAP CareSource ask that all Traditional Medicaid members complete the Health Needs Assessment (HNA). Through a few questions about the member’s health and well-being, HAP CareSource can help identify health, housing, education and employment concerns where we may be able to help.
Members can complete the HNA one of the following ways:
- Online: Visit my.caresource.com, click on your MyCareSource account and then the “Health” tab in the top navigational bar and select, “Assessment”.
- Print: New members can complete the printed copy of the HNA included in their new member packet. It can be returned in the enclosed self-addresses, postage paid envelope.
- Phone: Call our Member Assessment Team at 1-833-230-2011 (TTY: 711). They can be reached Monday through Friday from 8 a.m. to 6 p.m.