Case Management

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What’s covered

Molina Healthcare will provide you with a case manager who will have direct contact with you and your family. They will discuss the services you need with you, your caregiver and your primary doctor. They will help you with:

  • Your appointments
  • Authorize services
  • Answer any questions
  • Assess your needs on an ongoing basis

Your plan of care

Your case manager - based on your medical needs, home situation and support available from your family and friends - will develop a care plan combining your needs. Your plan of care will be developed as an aid to help you live independently. The care plan not only outlines your needed services but also outlines expectations from the service providers. As your needs change, your case manager will review information with you and change your care plan. If you have any questions regarding your plan of care, please call your case manager who will be available to assist you. Our case management staff can arrange many services for you, such as:

  • Occupational, speech or physical therapy.
  • Home delivered meals.
  • Assisted living services and/or personal care aides.
  • Coordination with hospitals and home health agencies.
  • Medical supplies and equipment.

 

The case manager’s responsibilities include:

  • Authorizing and coordinating service requests.
  • Communicating frequently with you and your family/caregiver during the assessment and ongoing reassessment of your needs.
  • Educating you and your family/caregiver about your plan of care, treatment goals and making adjustments as necessary.
  • Contacting your providers of care (doctors, therapists, etc.) to discuss your ongoing needs.

 

You should contact your case manager if any of the following status changes occur:

  • Change of your address or telephone number
  • Get other health care coverage
  • Are admitted to a hospital or nursing home
  • Enroll in hospice

 

Member Handbook

It tells you what you need to know about your Molina Community Plus Plan. Read here.

How do members get care?

If you have any questions, please call Member Services at (866) 472-4585 or (800) 955-8771 for TTY/TDD.