Complex Care Management Services

CarePartners of Connecticut’s Care Management Department provides care management services to help adult and pediatric members attain optimal health and achieve greater self-reliance in managing their health care. Our care managers provide systematic coordination and assessment of services using evidence-based clinical guidelines. CarePartners of Connecticut’s complex care managers partner with community health workers, behavioral health care managers, and pharmacists to help coordinate care and access to services for members with multiple complex conditions.

These programs assist members with conditions such as chronic kidney disease, cancer, congestive heart failure, COPD, dementia, heart disease, asthma, diabetes, and a variety of rare diseases — as well as behavioral health conditions like depression/anxiety and serious and persistent mental illness (SPMI). Care managers help patients avert the need for more intensive medical services by providing them with information tailored to their needs and stage of readiness. Comprehensive whole person management allows for integration and support for the member’s total medical care and treatment plan through intensive care management.

Care management programs are available to members identified through:

• Algorithms based on medical, pharmacy, and/or radiology claim analysis 
• Hospital discharge data 
• Provider and case manager referral 
• Self-referral 
• Health risk appraisal

For more information about CarePartners of Connecticut’s Complex Care Management programs, including how to refer patients, email cm_cpct@carepartnersct.com.