Quality ManagementMedicaidJune 1, 2025

Enhance patient care with our Complex Case Management program

Managing illness can be daunting for patients. They can struggle to understand test results, find resources for treatment, and know who to contact about their concerns. We’ll help your patients with transitions across care levels to be better prepared and informed about healthcare decisions and goals. Refer your patients by submitting a Case Management Referral Form by email or fax:

  • Physical health: CAMedicaidPHCM@anthem.com or 866‑333‑4827
  • Behavioral health: bhcmreferrals@anthem.com or 855‑473‑7902

Patients can refer themselves

Patients and caregivers can refer themselves or family members by calling the Member Services number on their member ID card. They will be transferred to a team member based on their immediate need. Patients can opt in and out of the Complex Case Management program anytime.

Physicians can refer their patients by submitting a Case Management Referral Form by email or fax.

Collaborative support for comprehensive healthcare

Our case managers are part of a team of clinicians and resource professionals who support providers, patients, families, and caregivers. We educate patients, help them understand their illnesses, and empower them by increasing their self‑management skills. Case management can help them learn about care choices to ensure access to quality and efficient healthcare.

Have questions about case management?

Call one of our Medi‑Cal Customer Care Centers Monday through Friday, from 7 a.m. to 7 p.m., at 800‑407‑4627 (TTY 711) (outside L.A. County) or 888‑285‑7801 (TTY 711) (inside L.A. County).

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Blue Cross of California is contracted with L.A. Care Health Plan to provide Medi-Cal Managed Care services in Los Angeles County. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: June 2025 Provider Newsletter