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Care Coordination
last modified
09/02/2008 - 02:15 PM
Information about the OVHA's Care Coordination Program (CCP) is available here.
The Care Coordination Program (CCP) aims to improve Medicaid beneficiary health outcomes, decrease inappropriate utilization of services, and increase appropriate utilization of services.
As part of meeting these goals, Nurse Care Coordinators and Social Workers provide intensive case management to beneficiaries between doctor visits to enable the success of their plan of care.
Medicaid beneficiaries who will most benefit from the CCP are selected based upon criteria identified through claims data and in collaboration with their primary care provider.
Regionally-based Care Coordination teams [one Registered Nurse (RN) and one social worker] work with the beneficiary, their provider(s), community based organizations, and State entities to devise a tailored care plan through assessment of current treatments, services, and resources.
Care Coordination teams access resources from many avenues, especially Vermont Blueprint for Health-related activities, to enable the beneficiary to obtain better self-management skills and empower the beneficiary to promote their own health and well-being.
Because Care Coordination teams are locally-based, they are able to implement case management plans within the context of the beneficiary's community, taking into account what is available and acceptable to the beneficiary and their primary care provider.
As part of meeting these goals, Nurse Care Coordinators and Social Workers provide intensive case management to beneficiaries between doctor visits to enable the success of their plan of care.
Medicaid beneficiaries who will most benefit from the CCP are selected based upon criteria identified through claims data and in collaboration with their primary care provider.
Regionally-based Care Coordination teams [one Registered Nurse (RN) and one social worker] work with the beneficiary, their provider(s), community based organizations, and State entities to devise a tailored care plan through assessment of current treatments, services, and resources.
Care Coordination teams access resources from many avenues, especially Vermont Blueprint for Health-related activities, to enable the beneficiary to obtain better self-management skills and empower the beneficiary to promote their own health and well-being.
Because Care Coordination teams are locally-based, they are able to implement case management plans within the context of the beneficiary's community, taking into account what is available and acceptable to the beneficiary and their primary care provider.
