ENHANCED CARE MANAGEMENT (ECM)
What is Enhanced Care Management?
This no-cost KHS program serves members with complex health issues or social needs. Your care team will include a Doctor, Nurse, Case Manager and care coordinator who all work along with your personal support system to create a special care plan for you.
Enhanced Care Management will not change any current plan services clients have. Members can keep their current Doctor and Specialists, plus get:
• A care team and case managers
• An individualized care plan to meet tailored needs
• Guidance through the health care process and referrals
• Rewards for keeping scheduled office visits
SERVICES
• Physical Health
• Behavioral Health Integration
• Substance Use Disorder (SUD) Services
• Social Services
• Care Coordination & Management - Find doctors and help set up doctors’ visits
• Transportation - Set up a ride for your health visits
• Transition of Care (TOC) - Get follow-up services after you leave the hospital
• Management of medications
WHO IS ELIGIBLE?
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You may be eligible for ECM if you meet any of the items below:
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Individuals at risk of institutionalization
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Nursing facility residents who want to transition to the community
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Individuals and families experiencing homelessness
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Adult substance utilizers
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Adult serious mental illness (SMI) patients
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Individuals transitioning from incarceration