Care management model
Our member-centric care management model integrates behavioral, physical, and social factors into each individual member’s plan of care. Our model features the early identification of needs, continuous assessment of health, and a “member home” approach that promotes collaboration among members, family, service coordinators, providers, and community resources.
This approach to care management was specifically designed to meet the needs of Medicaid recipients, including those with disabilities and special health care needs.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)