Seamless Transition of Care for New Member:
A young rural member in Washington was assigned to Coordinated Care during the statewide transition for Medicaid recipients on July 1, 2012. This member had been receiving pain medications, oral medications and tube feedings with home health visits. After a phone call from his pharmacy provider stating they would be picking up all of his equipment and medications on July 1st, he reached out to Coordinated Care for help. Within two hours’ time, our case manager identified a contracted provider who could render care to the member in his rural location for all of his needed services and made arrangements for delivery of supplies and equipment immediately. They arrived at the member’s home on June 30th with no interruption in care. Coordinated Care also set the member up with a physician appointment on July 2nd and he has been enrolled in case management for ongoing coordination of his complex medical needs.
Member Connections Provides Education at Home:
A young woman from Tacoma, Washington was pregnant with twins, working part time and living temporarily in an apartment that was being paid for by her church and friends. She was under a tremendous about of stress and reached out by phone to Coordinated Care for help to access a doctor and plan benefits.
Since the family lived near our plan headquarters and was expecting twins, we sent a Member Connections representative to assist this at-risk family. After a home visit, where the member was provided with plan information and educated on where to find resources in the community, how to access care and advice on healthy choices during her pregnancy, the family was relieved and at peace. Member Connections is continuing visits to ensure a safe and healthy delivery of twins.