Care & 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 nurse care coordinators 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:
- Heart disease
- High blood pressure and cholesterol
- Low back pain
- Weight loss
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 Provider Portal to easily provide input into your patients’ care plans and consult with care managers.
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 1-844-438-9498.
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
- Coordination with outreach teams such as wellness advocates and health coaches
- One-to-one care management (if they qualify)
Members with specific disease conditions such as asthma, diabetes, 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 are automatically mailed condition-specific newsletters. Member education materials are available in English and Spanish. 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 1-844-438-9498.
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 CareSource members who receive their recommended screenings.
How to Refer Members with Disease Specific Conditions
If you have a patient with asthma, diabetes, or hypertension who you believe would benefit from Disease Management Support and is not currently enrolled, please call 1-844-438-9498.
Health Needs Assessment
Georgia Medicaid and CareSource asks that all members complete the Health Needs Assessment (HNA). Through a few questions about the member’s health and well-being CareSource can help identify health, housing, education and employment concerns where we may be able to help. Also, the member can earn a $15 reward* when they complete the HNA.
Members can complete the HNA one of the following ways:
- Visit My.caresource.com, click on your MyCareSource account and then the Health tab in the top navigation bar
- New members can complete the printed copy of the HNA included with their new member packet. It can be returned in the enclosed self-addressed, postage paid envelope.
*The reward is issued through the MyHealth program. Members can find additional information about the program on My.caresource.com.