Care Management Programs

AmeriHealth Caritas Next has care management programs to help you get and stay healthy. You do not need a referral for any of these programs. If you have one of the medical conditions listed below, you can join one of our care management programs.

We have care management programs for the following medical conditions or needs:

• Diabetes
• Asthma
• Multiple chronic conditions — complex care management
• Pregnancy
• Coordination of care
• Transition of care

What can these programs do for me?

These programs can help you learn more about your condition and discover ways to manage your condition. They may help improve your quality of life.

A care manager will manage your care. The care manager will send you information about your condition, call you to find out how you are doing, and help you get program services.

How can I join one of these programs?

Use any of the methods below to join one of our care management programs:

• Log in to the member portal and go to Enroll in a Special Program.
• Call care management at 1-833-643-2262 (TTY 711).
• Talk to your primary care provider (PCP), specialist, or other health care provider about joining a program. They can call us to help you enroll.
• If we see from your health history that you may benefit from a program, we will send you information in the mail about how to enroll.

How to leave a program

You can tell us on the phone or in writing if you no longer want to be a part of a program.

• Call: 1-833-643-2262 (TTY 711)
• Mail: P.O. Box 7418, London, KY 40742-7418

Leaving a program will not change your benefits. It will also not change the way AmeriHealth Caritas Next provides your benefits.

Questions?

If you have any questions about our care management programs or do not want to be a part of these programs, please call us at 1-833-643-2262 (TTY 711).