Care Management

The Complex Case Management team partners with PCPs to provide support to members with complex medical needs. The Care Coordination team assists members with less complex and non-clinical needs.

Visit the Complex Case Management and Care Coordination page for information on:

• How we support members.
• Which situations qualify for complex case management.
• How our Care Coordination team assists members with less complex, non-clinical needs.

Consult the Pain Management and Substance Use Resources page for information and trainings on safe, compassionate and effective methods to help members manage pain, including:

• Clinical guidelines and best practices for pain management and opioid safety.
• Medical Assisted Treatment (MAT).
• Provider training and Continuing Medical Education (CME)/Continuing Education (CE) on pain and substance use management.
• Patient education and helpful websites.
• Pharmacy tools and resources.

View the Seniors and Disabilities page for information on:

• ADA compliance.
• Provider training and resources for serving seniors and people with disabilities (SPDs).
• Alliance programs and services for members who are SPDs

Every TotalCare (HMO D-SNP) member is assigned a care manager when they enroll. TotalCare care management focuses on identifying and addressing members’ medical, behavioral health, functional and social needs, coordinating across care teams and community resources to help members achieve their personal health goals.

Learn more on our TotalCare (HMO D-SNP) Care Management and Coordination page.