Care Coordination Services

CARE COORDINATION SERVICES INCLUDE:

• Connection to social service supports for which a member is eligible including food stamps, fuel assistance, and delivered meals

• Communication and coordination with medical, mental health, and substance use providers

• Access to primary, specialty medical, and behavioral health care

• Assistance with navigating Department of Mental Health (DMH) services

• Arranging for in-home services when needed including nursing or homemaking

• Health and wellness coaching, beginning with a comprehensive assessment of overall needs

• Help scheduling health appointments including coordinating transportation

• Support after coming home from a stay in the hospital or a rehab facility

• Connections to local community groups such as cultural centers, religious groups, or other social activities

• Connection to recovery supports

• Help with healthy living activities such as smoking cessation, eating well, exercising, or sleeping better

• Help with learning stress management tools such as walking, stretching, talking, or joining a support group

• Understanding enrollment paperwork needs in order to keep MassHealth services.