Serviços de Gestão de Cuidados
Na LIFEPlan CCO, acreditamos que cada pessoa deve ter o direito de definir a vida que você quer viver.
That’s why people with intellectual and developmental disabilities (IDD) who enroll in LIFEPlan Care Management get help finding, coordinating, and accessing the services they need.
Through close, personal support, Care Managers coordinate healthcare, personal services, social supports, disease-related care for chronic conditions, and access to preventative care. Care Management services are provided with sensitivity to cultural and language preferences.
Care Management Core Services
Comprehensive Care Management – Planning, coordinating, and managing a network of providers who offer the needed supports and services
Person and Family Support – Communication and educational support to enhance a full and healthy life
Care Coordination and Health Promotion – Coordinating health and wellness services to promote optimal health
Referral to Community Supports – Educating and connecting Members to community opportunities
Comprehensive Transitional Care – Managing plans and details during important life transitions, including medical care
Health Information Technology to link services – Records are maintained using data systems to track decisions and progress
O Gestor de Cuidados
The Care Manager helps Members in many aspects of life, including planning for IDD services, maintaining services such as Medicaid, SSI, and other social services, assisting with healthcare and medical appointments, self-direction, and any services identified in your Life Plan. Care Managers stay in contact with a regular schedule of meetings each quarter (depending on the level of service chosen). Members who contact their Care Manager can expect to hear back from them within 48 hours, except in an emergency.
O Plano de Vida
The Life Plan is a tool that guides choices and coordinates services across systems. The Care Manager and the person with IDD create the Life Plan with natural supports such as parents, siblings, and other caregivers. The Life Plan takes a personalized, comprehensive look at needs, wants, preferences, and strengths. When complete, the Life Plan guides the delivery of developmental disability, medical, and behavioral health services. It is regularly reviewed by you and your Care Manager.
OPWDD services support a range of basic and enhanced needs, including residential, employment, community habilitation, day habilitation, and respite services. Persons with intellectual disabilities, cerebral palsy, Down syndrome, autism spectrum disorders, Prader-Willi syndrome, and other neurological impairments can apply to receive OPWDD-funded services. These services are delivered directly and through a network of approximately 500 nonprofit service-providing agencies