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:

  • Asthma
  • Diabetes
  • Heart disease
  • Depression
  • High blood pressure and cholesterol
  • Low back pain
  • Pregnancy
  • 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

Together, we can make it easier for members to manage their care. If you know of a member who may benefit from the Care Management program, please call us at  1-844-679-7867.

Disease Management Program

Our free Disease Management program 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.
  • Evidence-based curriculum with clinical guidelines to help promote self-management skills for case managed members.
  • One-to-one care management (if they qualify)

Members with specific disease conditions are identified by criteria or triggers, such as emergency room visits or hospital admissions. These members are automatically enrolled into the Disease Management Program and are mailed educational materials. The curriculum is available in English and Spanish. If members do not wish to be enrolled in this program, they can call 1-844-438-9498.

Currently, members with the following conditions are eligible for the CareSource Disease Management program:

  • Diabetes
  • Hypertension

Benefits to Member and Providers

Members enrolled in the Disease Management program 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.

If you have a patient with diabetes or hypertension who you believe would benefit from this program and are not currently enrolled, please call 1-844-438-9498.