The Care Coordination Program provides short term case management and ombudsman services to recipients of Medicaid, Medical Assistance for Families, and the Maryland Children’s Health Program. Our Advocates educate enrollees about the importance of their medical plan of care, schedule and coordinate provider appointments, and provide links to community resources. Our Ombudsmen assist individuals who have complaints or concerns with their health plan or doctor. The goal of the Care Coordination program is to establish or restore the health plan/ Primary Care Provider relationship for the enrollee by removing barriers to care and resolving problems and concerns. Our School Health Program helps link eligible children to health coverage. Face-to-face services are the hallmark of our Care Coordination program providing the ultimate in personal services.
Services and Special Projects Include:
- Home and telephone assessments conducted by Registered Nurses, Licensed Social Workers, Community Ombudsman or Care Coordination Associates.
- Investigate and resolve enrollee complaints referred from the HealthChoice Enrollee Action Line
- Link and coordinate benefits and services including primary care, dental, specialty, and ancillary care.
- Outreach and assist pregnant women and families with infants by linking them to City Maternal and Child Health Programs. (Healthy Start, Maternal and Infant Nursing, WIC, Infant and Toddlers Program)
- Provide health education on risk reduction and safe sleep practices for infants, SIDS facts/prevention including providing cribs to families who do not have a safe sleep option for their baby.
- Provide grief and bereavement services related to fetal, infant, or child loss.
- Referral to services to assist with the removing barriers to care including housing, addiction treatment, domestic violence services, Energy Assistance, emergency funds, Baltimore City Health Department Programs or Medical Assistance Transportation.
- Educate on access to low-cost/ no-cost health care services in Baltimore City, Medicaid, the Maryland Children’s Health Program, HealthChoice, the Primary Adult Care Program, the Family Planning Waiver Program and the importance of preventive and comprehensive health care.
- Collaborate with Baltimore City Public Schools and the Baltimore City Health Department’s School Health Program to ensure that every eligible student has access to health care via the Maryland Children’s Health Program.
For more information about Care Coordination programs click the links to the right.