Case Management & Complex Case Management
Living with health problems and managing them can be hard. We have programs that can help. Case Management is when a trained nurse at Molina works with you and your PCP. The nurse will help you get the care you need. We also have a Complex Case Management program for members with difficult health problems who need extra help with their health care needs. Both programs allow you to work with a nurse. The nurse can help you learn more about your health problems. He or she can teach you how to better manage them. The nurse also will work with your family or others who help care for you. The nurse will work with your provider to make sure you get the care you need.
There are many ways you can be referred to a program. One way to enroll is through your provider. You also can self-refer to the program by calling Member Services. There are certain requirements that you must meet. There is no cost to you for this program.
This program is voluntary. You can choose to be removed from the program at any time.You can get more information about the program. Call Member Services at the phone number listed on the back of your ID card.
*Printed copies of information posted on our website are available upon request.
Care Coordination
Care Coordination is a service offered to members who need extra help to manage their health. This can be any adult or child who is receiving health services for an ongoing health problem. This problem can be either physical or mental health.
- Help you find services that are not benefits. This could be physical therapy with the schools or "Meals on Wheels".
- Help you access services that you are eligible to receive.
- Help coordinate appointments and tests.
- Help coordinate transportation.
- Help access resources to help members with special health care needs and/or their caregivers deal with day to day stress.
- Write down your questions. This will help you remember things when you have a lot to talk about.
- Tell your Care Coordinator about all of your appointments and tests. Not being aware of all the details of your case can keep the Care Coordinator from helping you.
You may contact the Member Services at 1-866-472-4585 for a referral.
*Printed copies of information posted on our website are available upon request.