Coordinated care

Care coordination

You can get care coordination from your patient-centered primary care home (PCPCH), primary care provider, or other primary care team. You can talk to your provider or EOCCO Customer Service to ask for a care coordinator.

The goal of this service is to make your overall health better, find out your healthcare needs and help you take charge of your health and wellness.

You can ask us for a care coordinator, or your representative can ask for you.

Working together for your care

Your care coordinator team will work closely with you and your provider. They will create a plan to make sure your care team is working together to provide your care and follows up after your care.

We want to help make sure anyone who gives you care can focus on helping you stay well and improve your health. Your care team will work together to manage and organize your services. This will help make sure you get the best care for your needs.

Members with Medicare

You can also get help with your OHP and Medicare benefits. A care coordinator works with you, your providers, your Medicare Advantage plan and/or your caregiver. We partner with these people to get you social and support services, like culturally specific community-based services.

For more information, call Customer Service at 888-788-9821 Monday through Friday, 7:30 a.m. to 5:30 p.m. (TTY users, please call, 711).

Intensive Care Coordination

You can get Intensive Care Coordination (ICC) services if you need more help. ICC services give extra support to those who need it.

You or your representative can ask for ICC services at any time and find out if this is right for you.

You and your ICC coordinator will make a plan called an Intensive Care Coordination plan (ICCP). It will help you meet your needs and keep your personal health and safety goals.

Your care plan will list supports and services needed to help you reach your goals. . Your Intensive Care Coordinator will share a copy of your plan with you by mail.

You will have an ICC team to help you. This team will include different people who will work together to meet your needs, such as providers and specialists you work with. This plan addresses medical, social, cultural, developmental, behavioral, educational, spiritual, and financial needs to give positive health and wellness results. Your care team’s job is to make sure the right people are part of your care plan to help you reach your goals. We will all work together to support you.

Call EOCCO Customer Service to get an ICC care coordinator. EOCCO will make sure that you or your representative get your ICC care coordinator’s name and phone number.

For more information, call EOCCO Customer Service at 888-788-9821 (TTY users, please call 711) Monday through Friday 8:00 a.m. to 5:00 p.m. If you can’t get ICC services during normal business hours, EOCCO will give you other options.

Health-Related Services

Health-Related Services (HRS) are extra services offered by EOCCO. HRS improve overall member and community health and well-being. HRS are flexible services for members and community benefit initiatives for both members and the larger community. The EOCCO HRS program aids in the best use of funds to address social risks factors--like where you live--to improve community well-being. Members with both Medicare and Medicaid can also get these services. Learn more about health-related services.

Flexible services

Flexible services are support for items or services to help members become or stay healthy.

Health Risk Screening

EOCCO will send new members a survey about their health within 90 days. This survey is called Health Risk Screening (HRS). Please complete this form and mail it back. EOCCO uses your answers to help you get the right care. If you do not mail it back, EOCCO will call you to answer these questions. You can also call EOCCO at 800-592-8283 and we can help you fill out the form.

The Health Risk Screening (HRS) is a survey with questions about your general health with the goal of helping reduce health risks, maintain health, and prevent disease.

A Care Management Team member (Nurse, Licensed Clinical Social Worker, Clinical Support Coordinator, or Pharmacist) will look at your survey. They will call you to talk about your needs and help you understand your benefits.

You will be sent a new survey every year or if your health changes.

You or your representative can ask for a copy of the survey if think you need extra support from our care team.

Your survey may be shared with your doctor or other providers.