Provider Education on Complex Case Management
Abrazo Advantage Health Plan (AAHP) offers members the opportunity to participate in the Case Management Program when they become overwhelmed by multiple health problems.
AAHP's complex Case Management Program for Special Needs Plan (SNP) members is known as chronic care management due to the multiple needs of the members. Care management refers to the collaborative effort among physicians, members and AAHP which assesses, plans, implements, coordinates, monitors and evaluates options and services to meet member needs.
How it Works
|
The care manager works with the member, their family or significant other, the PCP and other providers who offer care to the member to make sure they get the care they need and prevent exacerbation of illness. A care plan for the member will be developed and will include input from the member, their family or significant other, PCP and other providers. |
The care plan includes:
- Long and short-term goals, barriers to meeting goals, communication with member and assessment of progress against plan
- Assessment of health status, mental status, including cognitive functions, ADL, life planning activities
- Evaluation of cultural & linguistic needs, care giver resources and available benefits
- Self-management plan (if indicated)
AAHP also offers a diabetes and asthma disease management program which focuses on each disease.
You may refer members to the program or they may refer themselves. The member has the right to opt out of the program.
The provider can use this service to monitor the member's self-management of the condition, preventive health issues, relevant medical test results and mental health issues. It is also a source for managing member comorbidities, lifestyle issues and medication management.
Our goal is to join with providers, community services, and family members to achieve optimal outcomes. If you would like to refer a member to the Case Management program or need additional information Please use our Online Referral Form or call (602) 824-4081 for more information.
You may also contact us at:
AAHP Member Services
(602) 824-3900 or (888) 864-1114
Seven days a week, 8 am to 8 pm
Hearing Impaired Assistance
TTY/TDD (602) 824-3909 or (800) 489-1472
Monday-Friday, 8 am to 5 pm
or call (800) 842-4681 to access the Arizona Relay System
after hours, weekends and holidays.
H5985_246-2013 Pending CMS Approval