Care Coordination Case Management program

Managing an illness can be a daunting task for our members. It is not always easy to understand test results, know how to obtain essential resources for treatment, or know who to contact with questions and concerns.

Simply and CHA are available to offer assistance in these difficult moments with a selection of Case Management programs, designed to prevent potentially avoidable admissions or ER visits for members living at home or in the community. CHA is a specialty plan for persons living with HIV, and every member is assigned to a care coordinator or nurse case manager. Our case managers are part of an interdisciplinary team of clinicians and other resource professionals there to support members, families, PCPs, and caregivers. The case management process uses the experience and expertise of a clinical case manager to educate and empower our members by improving care coordination, reinforcing adherence to physician treatment plan, and helping members increase self-management skills. The case management process can help members understand their illnesses and learn about care choices to ensure they have access to quality, efficient healthcare.

Members or caregivers can refer themselves or family members by calling the Customer Service number located on their ID card. They will be referred to our case management team and assessed for what program best fits their needs. Physicians can refer their patients who agree to be assessed for eligibility into a case management program by contacting us telephonically or through our email referral group. Although this is an outpatient program, we can help with transitions in care so that our members and caregivers are better prepared and informed about healthcare decisions and goals.

You can contact us by phone at:

• Simply: 844-406-2396
• CHA: 855-459-1566

All plans have 711 for TTY services. 

You can also send a referral via email to:

• General: CM_DM_Referrals@simplyhealthcareplans.com 
• Medical foster care and early intervention services: dl-EIS_MFC_communications@anthem.com