We are here to help. As a Cook Children’s Health Plan member, you may be eligible for one of our Care Management programs at no cost to you.
The Health and Wellness Program promotes health screenings and wellness programs for improved health. We offer tools that provide you with information to promote health and wellness, including:
If you have asthma or diabetes, our Disease Management Program can help you. We will mail you information to help you understand and manage your condition. You may also receive a call from one of our team members. They will:
Please click here for asthma and diabetes resource information.
Pregnancy is an amazing time for a woman. It can also be a time full of questions. The Baby Steps team is here to answer your questions. Our team is made up of nurses and community health workers. They will send you pregnancy, postpartum and newborn information. If you have a high-risk pregnancy, you will have a Case Manager. The Case Manager will answer questions and help you find any services you need. A high-risk pregnancy means you have something that raises your or your baby’s chance for health problems or early (preterm) delivery.
For more information, please click here.
Our Members with Special Health Care Needs (MSHCN) are eligible for these programs. A MSHCN is someone who:
You will have your own Case Manager or Service Manager/Coordinator. They will help you get the services you need by:
Cook Children’s Health Plan has multiple avenues for members to be considered for complex case management services, including, but not limited to:
Each referral is reviewed to enroll members in to Complex Case Management based on available information and telephonic member assessment. Participation in this program is voluntary and at no cost for all eligible Cook Children’s Health Plan members. If you would like to refer a member or if you would like more information about eligibility for this program, please call 1-800-964-2247 (Monday through Friday from 8:00 am to 5:00 p.m. local time).
You do not need to have a referral from your doctor to join. If you qualify for any of these programs, you can call us at 1-800-964-2247 Monday through Friday from 8:00 am to 5:00 p.m. local time. Members that are eligible for any of these programs that require contact between them and Cook Children’s Health Plan staff will receive the following information:
Care Management Program outreach and ongoing management for our members will be made by phone. All calls are live between Care Managers and the member. If you do not want to join any of these programs, you can opt out at any time by calling the same number. This means that we will take you out of the program but it will not affect your benefits.