Complex Case Management program

Managing illness can be a daunting task for our members. It is not always easy to understand test results, how to obtain essential resources for treatment, or know whom to contact with questions and concerns.

 

Anthem Blue Cross and Blue Shield Medicaid (Anthem) is available to offer assistance in these difficult moments with our Complex Case Management program. Our case managers are part of an interdisciplinary team of clinicians and other resource professionals working to support members, families, primary care providers and caregivers. In addition, the complex case management process uses the experience and expertise of the Case Management team to educate and empower our members by increasing self-management skills. The complex case management process can help members understand their illnesses and learn about care choices to ensure they have access to quality, efficient health care.

 

Members can refer themselves, or caregivers and family members can refer members by calling the Member Services number located on the back of their ID card. They will be transferred to a team member based on the immediate need. Providers can refer their patients by contacting us telephonically or through electronic means. We can help with transitions across levels of care so that patients and caregivers are better prepared and informed about health care decisions and goals.

 

You can contact us by email at kentuckycm@anthem.com or by phone at 1-855-661-2027 ext. 106.103.5259. Case Management business hours are Monday through Friday from 8 a.m. to 5 p.m. ET except holidays.