State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2020

Complex Case Management program

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

 

HealthKeepers, Inc. is available to offer assistance in these difficult moments with our Complex Case Management program. Our care managers are part of an interdisciplinary team of clinicians and other resource professionals working to support members, families, PCPs and caregivers. The Complex Case Management process uses the experience and expertise of the Case Coordination 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 or caregivers can refer themselves or family 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. In addition, physicians 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.

 

If you have questions or would like additional information, you can contact us by phone at 1-800-901-0020. Case Management business hours are Monday through Friday, 8 a.m. to 6 p.m. ET.

 

AVA-NU-0243-20