Intellectual and Developmental Disabilities Care Management

Our I/DD Care Managers want you to get the best care possible. Care Managers work with you, your guardian, your family, and your other supports to:

• Monitor your services and their results
• Make sure you get proper assessments
• Make sure you are involved in making a complete Person-Centered Plan
• Make sure you get the services you need

About Tailored Care Management (TCM)

For extra support to get and stay healthy, you may have access to Tailored Care Management (TCM) at no cost to you. Tailored Care Management provides you with a care manager, who is trained to help people with mental health, substance use, intellectual/developmental disability (I/DD) and/or traumatic brain injury (TBI) needs. Your care manager works with you, your team of medical professionals and your approved family members (or other caregivers) to consider your unique health-related needs and find the services you need in your community.

Your care manager can:

• Do a full assessment of your needs and help develop a set of health goals and a plan to achieve those goals
• Help arrange your appointments and transportation to and from your provider
• Answer questions about what your medicines do and how to take them
• Follow up with your doctors or specialists about your care
• Connect you to helpful resources in your community

Your Tailored Care Management provider may be your PCP (also called an Advanced Medical Home + or AMH+), a Care Management Agency (CMA) or Partners’ Care Management department.

Find or Change Your TCM Provider

You can choose or change your Tailored Care Management provider during the year. If you want to choose or change your Tailored Care Management provider, you can call Member Services at 1-888-235-4673; Relay NC 711 or TTY (English) 1-800-735-2962; (Spanish) 1-888-825-6570 or submit the Tailored Care Management (TCM) Request form. Complete the form and click Submit found at the bottom of the form. You can use this form to make a TCM selection or opt out of the service. For assistance in completing the form, email ScreeningandReferral@PartnersBHM.org or call 1-888-235-4673.

You can also choose not to have a care manager and not receive the Tailored Care Management benefit. Partners will help you coordinate services, but the coordination will be more limited than Tailored Care Management. For example, you will not meet with a care manager on a regular schedule. This will not impact which providers you can see or what services are covered for you through Partners.

You can choose not to have Tailored Care Management at any time by calling Member Services at 1-888-235-4673; Relay NC 711 or TTY (English) 1-800-735-2962; (Spanish) 1-888-825-6570 or submit the Tailored Care Management (TCM) Request form by completing the form and clicking Submit.

Our Provider Search Tool can be used to find a Tailored Care Management Provider.

Use the Tailored Care Management Provider Form to change your Tailored Care Management Provider at any time.

If you need assistance or have questions about Tailored Care Management, you may email Partners at:
ScreeningandReferral@PartnersBHM.org

Watch your mailbox for updated information, including your NC Medicaid Direct Member Handbook. If you have questions about items you receive in the mail, you may contact us at Questions@PartnersBHM.org.