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Care management programs we offer help address members who are:
We identify members based on multiple sources, including medical and pharmacy claims, and other self-reported information.
Interventions are designed to help members avoid illness, boost wellness, enhance quality outcomes, and decrease health care costs by addressing gaps in care and medication management in accordance with their clinician’s or physician’s treatment plan. These interventions may include:
Some members receive additional nurse coaching by phone. We reach out to treating providers if there are specific concerns raised that you may need to be aware of.
We welcome provider and member referrals. If you think a member could benefit from care management, please complete our Patient Referral for Health Management Programs & Services Form and return it to the fax number indicated. Or, call Health Management Programs at 1-800-392-0098, Option 1.
For questions about Federal Employee Program member referrals, please call 1-800-689-7219, Option 2.
For members with this plan | Call |
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HMO, PPO, Indemnity | Case Management 1-800-392-0098, Option 1 |
Federal Employee Program (FEP) | FEP Case Management 1-800-689-7219, Option 2 |
Medicare Advantage | Case Management MedAdvCMreferrals@bcbsma.com 1-800-392-0098, Option 1 |
Medex | Case Management 1-800-392-0098, Option 3 |