Complex Case Management

 

At Balance by CCHP, we are committed to enhancing your healthcare experience and supporting your overall well-being.

Our Complex Case Management Program is designed for members with multiple chronic conditions, particularly those with uncontrolled Type II diabetes (HbA1c ≥ 8.0%) and heart failure. Enrollment in this program will not affect your benefits. Members and providers are encouraged to complete this referral form for program consideration.

Once eligibility is confirmed, one of our nurses or social workers will work closely with you to support your individual health needs.

We can assist with:

  • Health education and coaching to help manage Type II diabetes and heart failure
  • Scheduling doctor’s appointments and specialist referrals
  • Medication education and review
  • Transportation to medical appointments

Please follow the instructions on the referral form to submit a referral. Members and providers may also refer themselves or a patient to the Case Management Program by calling the Care Coordination Department at 628-228-3333 or by emailing [email protected].

Our intake coordinator will gather the necessary information and forward the referral, along with identified needs, to a nurse or social worker for follow-up.

Let us help you navigate your healthcare journey.

Balance by CCHP Care Team

 

Complex Case Referral Form

Questions or Need Help?

Please contact Member Services for questions about Mental Health Benefits, In-Network Provider Access, Claims Processing, and ANY other questions or concerns regarding your Balance membership.

Call Us

1-888-775-7888
1-877-681-8898 (TTY)

October 1 – March 31
7 days a week from 8:00 a.m. to 8:00 p.m.

April 1 – September 30
Mondays – Fridays 8:00 a.m. to 8:00 p.m.