Intensive Care Management

Intensive Care Management (ICM) provides comprehensive care coordination services for members with multi-morbid conditions. These services help to decrease missed appointments, decrease unnecessary trips to the Emergency Department (ED), and improve member self-care between provider visits. ICM nurses work directly with providers and patients to manage chronic and multi-morbid conditions through a person-centered plan of care.

Refer Members to ICM

If you have patients that would benefit from the additional support provided by ICM, call 1.800.440.5071 x2024, or fax a completed ICM Referral Form to 866.361.7242.

More Information

Elements of ICM Care Coordination

Nurse Managed Services

Appointment management services:

  • Assistance with transportation needs
  • Help finding in-network specialists

Patient coaching services:

  • Evidence-based coaching
  • How to use health benefits
  • Providing health education materials
  • Decrease unnecessary ED use and preventable re-hospitalizations
  • Support with treatment plan progress and medication management

Community Health Worker Ambassador Program

Our certified Community Health Workers (CHWs) serve as ambassadors for the HUSKY Health program and help families access community resources for the services they need. They are committed to help building equity through diversity, inclusion, and community engagement efforts. They work to ensure that all members, regardless of ability, age, cultural background, ethnicity, faith, gender, gender identity, ideology, income, national origin, race, or sexual orientation have the opportunity to reach a better quality of health.

CHWs provide the following patient assessment and referral services:

  • Childcare and parenting support
  • Disability services and other related services
  • Domestic violence support and legal services
  • Educational and youth programs
  • Employment services
  • Housing, food, and clothing assistance
  • And more

How ICM works

  1. ICM nurses outreach to identified or referred members to offer the Care Management program.
  2. A holistic ICM assessment is conducted that evaluates a member’s medical, behavioral, and social determinants of health, self-care ability, screenings, and more. A person-centered plan is then developed with the member using motivational interviewing. The plan is then shared with the member's provider.
  3. ICM nurses work with providers, Community Health Workers (CHWs), dietitians, and other agencies to help members access the care and programs they need to achieve their health goals.
  4. ICM nurses support the provider’s plan of care for the member and provide teach-back learning and education to improve self-reliance.
  5. Members graduate from ICM once they reach an optimal level of self-management and engagement in recommended care in partnership with their providers.
  6. If a hospital admission should occur, ICM Transitional Care nurses collaborate with members, caregivers, providers and community agencies to ensure provider follow up and services are in place.

This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc.®, the State of Connecticut’s Medical Administrative Services Organization (ASO) for the HUSKY Health program. For the general HUSKY Health website gateway, please visit HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services (DSS).