Provider News & Updates – December 2022 December 5, 2022 Referrals Recommended for IHN-CCO’s Care Management Program InterCommunity Health Network Coordinated Care Organization Care Management Program assists members with a variety of health care needs to achieve and maintain optimal functioning. Dedicated staff work directly with members who may need a wide range of support. Intensive Care Coordination offers support services to those with more complex conditions requiring individualized case management over a longer period. Members can be referred to meet the needs of certain groups. Intensive Care Coordination services are available to the member populations listed below without prior approval for case management services. Examples of prioritized populations for case management are: Priority populations for children: ages 0 to 5 At risk of maltreatment. Show signs of social, emotional or behavioral problems. Serious emotional disturbance. Have neonatal abstinence syndrome. May be involved with child welfare. Priority populations for adults: Present with complex medical needs. Have multiple chronic conditions. Diagnosed with communication disorders. Receiving Medicaid-funded long-term support services. Diagnosed with HIV/AIDs and/or tuberculosis. Veterans. Pregnant persons. Priority populations for behavioral health: Involved with medication-assisted treatment. In need of withdrawal management. IV drug use. Severe persistent mental illness. Persons at risk of first episode psychosis. If you have patients/members you would like to refer to the IHN-CCO Care Management Program, you may complete the Care Management Member Referral form and submit it via secure email to [email protected] or fax it to 541-768-9768.