Complex Case Management

Complex Case Management

Molina Healthcare offers you and your patients the opportunity to participate in our Complex Case Management Program. Patients appropriate for this voluntary program are those that have the most complex service needs and may include your patients with multiple medical conditions, high level of dependence, conditions that require care from multiple specialties and/or have additional social, psychosocial, psychological and emotional issues that exacerbate the condition, treatment regime and/or discharge plan.

The purpose of the Molina Healthcare Complex Case Management Program is to:

  • Conduct a needs’ assessment of the patient, patient’s family, and/or caregiver
  • Provide intervention and care coordination services within the benefit structure across the continuum of care
  • Empower our patients to optimize their health and level of functioning
  • Facilitate access to medically necessary services and ensure that they are provided at the appropriate level of care in a timely manner
  • Provide a comprehensive and on-going care plan for continuity of care in coordination with you, your staff, your patient, and the patient’s family.


If you would like to learn more about these programs, speak with a case manager and/or refer a patient for an evaluation, please contact Molina Healthcare at 1-877-665-4622.

* Printed copies of information posted on our website are available upon request.