Medicaid care coordination

Get the help you need to manage your long-term care plan.

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We’ll help you stay organized

We know keeping everything organized can be a challenge when it comes to your healthcare. Part of your long-term care (LTC) plan is having the help of a care manager to assist you.

A care manager is your contact for getting services through Humana’s long-term care program, as well as health and wellness services and disease management.

For full details on care coordination, check your LTC member handbook.

View member handbook

What does a care manager do?

  • Helps you plan your personal goals, as well as your goals for getting back into your home and community.
  • Works with you, your caregiver, and your doctor to develop your care plan. This plan helps you meet your long-term care needs.
  • Reviews your care plan every 90 days and assess your needs based on your health and living situation.
  • Acts as your supporter. Your care manager ensures that you and your caregiver are the only ones who can choose where you live. It is your choice whether to live in the community or a long-term care facility. The care manager can give you information on where to live, what it will cost and what doctors will be available to you
  • Visits you at your home or facility and follows up to make sure the services you are getting are meeting your needs.
  • Connects you to community services in addition to your Humana benefits. This will help improve your quality of life.
  • Works with your primary care doctor to make sure you’re getting any behavioral healthcare, if needed.

Care Plan

You will work with your care manager, your caregiver and your doctor to create your care plan. The plan will list the services you have access to and how often you get them. The plan is based on your healthcare history, current health needs and living situation. The support you have from your family and friends is also part of the plan.

Your care plan may change as your needs change. Your care manager will review your plan every 90 days. Your manager will talk with you and/or your caregiver before making any changes. And, if possible, your manager will also consult your doctor.

If you have questions about your care plan, ask your care manager.

Emergency plan

Your care manager will help you make an emergency plan. This plan gives details about how to prepare for a disaster or emergency.

The plan may include information like:

  • Creating personal and family plans for shelter
  • Local shelter listings
  • Dealing with special healthcare needs
  • Special needs registries
  • Evacuation and emergency preparedness for people with disabilities and their caregivers

Learn more about how Humana helps members during disasters and emergencies.

Support during emergencies

Disease management

A nurse can help you learn how to control diseases such as congestive heart failure, hypertension, asthma, HIV/AIDS and cancer by providing education and support. Then nurse can help you find resources in your community and will also help you talk with your doctor.

The Medicaid disease management program is designed to help you understand and manage your disease and follow your doctor’s plan of care.

Learn more about disease management in your member handbook.

For more information on the disease management program, call Humana at 1-800-393-8858 -(TTY: 711), Monday – Friday, 8:30 a.m. – 5 p.m., Eastern time.

Documents and forms

Stay organized and find all of the documents and forms you need in one place. Find your long-term care member handbook, provider directories and more.

Other important forms you can find:

  • Clinical survey
  • Health risk assessment
  • Over-the-counter (OTC) order form
  • Power of attorney (POA) form
  • Protected health information (PHI) release form
  • Milliman Care Guidelines (MCG)
See all documents and forms

Caregiver support

Are you a caregiver? Find support and tools here to help you. Find caregiver support

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Documents & forms

Find the documents and forms you need, including your member handbook.