Care Management
CHNCT’s Care Management program includes Intensive Care Management (ICM), and Transitional Care Management (TCM). These programs provide a multi-disciplinary approach and care coordination activities for members with significant high-risk and complex health and health-related needs. ICM provides comprehensive case management services that aim to increase member engagement in ongoing care with a Primary Care Provider (PCP) and appropriate specialists, decrease potentially avoidable hospitalizations, and reduce health disparities. TCM provides interventions that promote coordination and continuity of care to ensure safe and effective care transitions, reduce the risk of gaps in care, and improve health outcomes.
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 Care Coordination
The Care Management Team can help your patients by:
- Promoting the patient’s ability to engage with their care team and participate in recommended care
- Addressing barriers leading to gaps in care and promoting optimal use of benefits
- Providing individualized health coaching in the patient’s preferred language
- Supporting treatment plan progress and successful medication management
- Increasing patient self-management to prevent complications and potentially avoidable hospitalizations
- Developing an action plan to recognize warning signs of a worsening condition and seek early treatment
- Supporting successful care transitions by evaluating the patient’s understanding of discharge instructions and ensuring recommended follow-up care is arranged
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're committed to helping build 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
- Assistance with HUSKY Health benefits
How Care Management Works
- Care Management nurses reach out to identified or referred members to offer participation in the Care Management program.
- A holistic assessment is conducted that evaluates a member’s medical, behavioral, and health-related social needs, self-care ability, readiness to engage in care, risk factors, and more.
- Care Management nurses work with providers, other agencies, and the multidisciplinary care team to help members access the care and programs they need to achieve their health goals.
- Care Management nurses support the provider’s plan of care with the member and provide education and tools to improve self-management.
- Members graduate from Care Management once they reach an optimal level of self-management and engagement in recommended care with their providers.
- If a hospital admission or emergency department visit should occur, Transitional Care Management nurses collaborate with members, family/caregivers, and the multidisciplinary care team to ensure that discharge instructions are understood, needed services are in place, and timely post-discharge follow-up appointments are scheduled.
Secure emails
We’ve begun using new software for our secure emails.
During your first time sending or receiving an email with this system you’ll need to create an account with a new password. You'll use this information to log in each time you want to send a secure email. You'll also use it to log in when you receive a secure email from HUSKY Health. When creating your new account, you’ll receive an email from Proofpoint. Enter the code from the email in the field provided to complete your registration.
When sending your email, address it to provider@chnct.org for questions about reports, prior authorizations, the PCMH program, etc.
Address your email to websupport@chnct.org for help related to the provider portal, such as issues with resetting your password or accessing your account.
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 portal.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services (DSS).
