Care Coordination

As a Blue Cross Community Health PlansSM member, you may work with a care coordinator to help with your health care needs. This includes your Managed Long Term Supports and Services (MLTSS), in addition to any other health care needs you may have. Your care coordinator will help manage the following benefits, including but not limited to:

  • Home and Community-Based Services, including:
    • Personal care attendants
    • Homemaker services
    • Home delivered meals
    • Adult day care
    • Nursing Care services
    • Home Health Aide
  • Nursing Home Care and Supportive Living Facilities
  • Medicaid-Covered Behavioral Health Services
  • Non-Emergency Medical Transportation

Your care coordinator will contact you to set up your first meeting and conduct a comprehensive Health Risk Screening (HRS) to help us find out your health care needs. After the HRS, your care coordinator will help you and your health care team make a plan of care to help you reach your health care goals using your benefits.

Your care coordinator will also:

  • Plan in-person visits or phone calls with you
  • Listen to your concerns
  • Help you get services and find health issues before they get worse (preventive care)
  • Help set up care with your doctor and other health care team members
  • Help you, your family and your caregiver better understand your health condition(s), medications and treatments

Care Coordination is voluntary (except for waiver participants) and you can opt-out at any time if you decide not to participate. To ask about care coordination you may call Member Services at 1-877-860-2837 (TTY/TDD 711).