Complex Case Management Services

MDwise wants to help you stay healthy. MDwise members may be eligible for Population Health Management services through the care management department. Population Health Management is a way we try to help you have better health and quality of life by talking with you, sending you materials, or sending you texts about ways to stay healthy. The MDwise care management program can help you manage your health conditions. MDwise care managers help you and your doctor plan for your care.

As your needs change, the level of care management will change. Care management will help you become more independent and able to manage your own health care needs. MDwise care managers can help you with mental health and physical conditions.

MDwise care managers can help you make goals for your health. They work with you, your doctors, family, and caregivers to do this. They want you to make the best choices for your health. Care managers can help you understand your health conditions and how to best manage them. Care management also assists you with:

  • Understanding your condition.
  • Understanding your medications.
  • Getting supplies and equipment you need.
  • Finding care from special doctors.
  • Getting information about your condition.
  • Scheduling appointments.
  • Talking to doctors about your condition(s) and how you are doing.
  • Getting help from other organizations.

You, your provider, family members or caregivers can all request care management by completing an online referral form or by calling customer service. The online referral form is located at MDwise.org/cmdm-referral and MDwise customer service can be reached at 1-800-356-1204. Once MDwise receives your request, a care manager will contact you and you can discuss your needs or the needs of the person requesting care management. If you agree, we may contact you by telephone, text messages, emails, mail or in-person (for certain services) to tell you how to use the services. You may also opt out by calling or writing to us.