Case Management

Case management is a support service offered to eligible PrimeWest Health members and refers to the coordination of health services on behalf of a member. PrimeWest Health delegates case management to our 13 county partners (visit our Service Area page for more information about our counties). Case managers play an important role in our members' health; they may be nurses or social workers and may accompany members to their health care provider appointments. They can also assist members with the following:

• Arranging for, getting, and coordinating assessments, tests, and health and continuing care services
• Developing and updating member care plans
• Communicating with a variety of agencies and people
• Disease management programs
• Other services as outlined in member care plans

Case managers are automatically assigned to members ages 65 and over and to members enrolled in either of our programs for people with disabilities. However, members always have the right to refuse case management. To find out if a member has case management or to contact his/her county case manager, call the Provider Contact Center at 1-866-431-0802 (toll free).