Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2024

Complex Case Management program

Managing an illness can be a daunting task for Anthem HealthKeepers Plus members. 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 case 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 healthcare.

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 healthcare decisions and goals.

If you have any questions about this communication, call Provider Services at 800-901-0020. Case Management business hours are Monday through Friday from 8 a.m. to 6 p.m. ET, and the fax number is 866-920-4097.

If you have any questions about this communication, call Anthem HealthKeepers Plus Provider Services at 800-901-0020.

HealthKeepers, Inc. is an independent licensee of the Blue Cross Blue Shield Association. Anthem HealthKeepers Plus, offered by HealthKeepers, Inc., is a health plan that contracts with the Virginia Department of Medical Assistance Services to provide Medicaid benefits to enrollees. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: June 2024 Provider Newsletter