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Prevention, Population Health, and Care Management Programs

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Home » Medicaid Plan » Members » Prevention, Population Health, and Care Management Programs

Healthy Opportunities

If you live in or your Medicaid services come from Burke or Rutherford counties, and you have at least one physical/behavioral health risk factor and at least one social risk factor, you may be eligible to get additional services and supports free of charge for non-medical needs related to housing, nutritious foods, reliable transportation and interpersonal violence and toxic stress.

Contact your care manager or call the Member and Recipient Services Line at 1-888-235-4673 to see if you qualify and learn what services are available to you.

Examples of physical/behavioral health risk factors include:

  • Adults with two or more chronic conditions
  • Pregnant women with multifetal gestation
  • Babies age 0-3 that were in a neonatal intensive care unit
  • Children age 0-21 who experienced three or more adverse childhood experiences

Examples of social risk factors include:

  • Being homeless or experiencing unstable housing
  • Experiencing food insecurities
  • Having a lack of transportation
  • Being at risk of experiencing or witnessing interpersonal violence

Other Programs to Help You Stay Healthy

Partners wants to help you and your family get and stay healthy. If you want to quit using tobacco or are a new parent who wants to learn more about how to best feed your baby, Partners can connect you with the right program for support. Call the Member and Recipient Services Line at 1-888-235-4673 to learn more about:

  • Services to help you stop smoking or using other tobacco products
  • Special nutritional programs for women, infants and children (WIC)
  • Screening programs for newborns, including hearing screening
  • How to manage stress
  • Reducing depression
  • Preventing suicide
  • Reducing substance use
  • Becoming more physically active
  • Eating healthy
  • Opioid misuse prevention program-Project Reducing Harm from Opioids (RHO)

Health Support Services

Partners understands many things affect your health. For that reason, we have a team of dedicated member engagement specialists and care managers to help you.

Member engagement specialists can help you:

  • Learn about your rights and responsibilities
  • Create a Psychiatric Advance Directive (PAD)
  • Find community resources and supports
  • Understand the Medicaid system
  • Access handbooks and member materials

You can reach a member engagement specialist by calling 1-888-235-4673 or emailing memberquestions@partnersbhm.org.

Care Managers

Managing your health care alone can be hard, especially if you are dealing with many health problems at the same time. If you need extra support to get and stay healthy, we can help. You could have a care manager on your health care team for services that do not already include care management.

A care manager is a specially trained health care worker who helps you and all your health care providers to make sure you get the right care when and where you need it. The care manager knows what resources are available in your community and will work with local providers to get you the help you need.

If you have questions about care management, call 1-888-235-4673.

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