Care Management includes communicating with members, facilitating development and implementing of person-centered care plans, connecting members to services and monitoring the appropriate delivery, quality and effectiveness of services within the care plan.
Care Management services are provided by experts who work with people to identify their needs and goals and help locate services that improve health and well-being. Care management is available through several state agencies, depending on individuals service needs and eligibility, including: the Department of Mental Health, the Department of Developmental Services, the Massachusetts Rehabilitation Commission, and to MassHealth members through the various integrated care programs, such as One Care, Senior Care Options, PACE, Home and Community-Based Services Waivers, and the Money Follows the Person Demonstration Program.
Care Coordination and assistance for children with special health care needs is available through the Department of Public Health.
Community Case Management
Community Case Management is a MassHealth service that provides coordinated long-term services and supports for children with complex health conditions that need continuous nursing services. Community Case Management is provided by the University of Massachusetts Medical School.