Care Management Programs

At MetroPlus we can help you stay healthy and provide support to manage your health. We have special programs for people living with asthma, diabetes and HIV/AIDS. We also have programs for women expecting a baby, anyone dealing with family violence or mental health issues and members who have SSI or complex health problems. Want help to quit smoking or manage your weight? We can help!
 

Behavioral Health

MetroPlus and Beacon Health Options offers a highly collaborative partnership giving providers the tools necessary to manage the care of the member. Beacon Health Options focuses on member outcomes and case management. Beacon Health Options’ encounter data, claims and other clinical and administrative processes are designed to offer superior mental health and clinical management information to network providers. MetroPlus works to give providers the required tools to provide a high level of effective and efficient services to our members.

Complex Case Management/Healthy Heart/Disabilities

This program is designed for members who may not meet criteria for other programs but have serious health problems that require help to access medical care. A Case Manager will complete an assessment by phone with you. Then, based on your needs, the Case Manager works with you and your doctors to coordinate the best possible care.

DiabetesCare

If you have diabetes, you need to see your doctor every three to six months. Every three months, your A1C should be checked which tells how well your blood sugar is controlled. You need to work out a healthy food plan and stay with it. Your doctor will also check your weight, blood pressure and feet. Our Case Managers can work with you to figure out ways to reduce future complications and live a better life.
 
MetroPlus also offers a Telehealth program that provides the latest diabetic monitoring technology in your home and personalized nursing consultations over the phone.

Domestic Violence

Domestic Violence should not happen to anybody, but it does. And when it does, there is help. Maybe you don't know who to talk to or have had a bad experience before when you tried to get help. We will listen to you without letting others know you called and get you the help you need. We can help you obtain resources to get you out of harm's way.

Medicare

This program works with Medicare members and their PCPs to get all the services and referrals they need. Medicare members can also get help from our other care management programs.

Partnership in Care (for people living with HIV/AIDS)

If you are living with HIV/AIDS, this program helps you manage your condition to stay healthy. Our Case Managers help you make appointments with an HIV Specialist as your PCP and stay on top of your medications. We can also make it easier to see specialty providers such as Hepatitis C experts, dermatologists and heart specialists. For more information, see our Medicaid Partnership in Care SNP page.

Smoking Cessation

Smoking can lead to many serious health problems, like lung cancer, stroke and heart disease. Quitting is one of the biggest steps you can take to improve your health and the health of those around you. If you smoke and want to quit, our Case Managers can help you.

Supplemental Security Income (SSI)

This program is for any member receiving SSI benefits who needs assistance with their medical conditions. Case Managers can assist you to understand your illness or medications, set up medical appointments, arrange transportation to appointments or help you obtain resources in your community.