The Centers for Medicare & Medicaid Services (CMS) requires all dual eligible special needs plans provide an ICT to coordinate the delivery of services and benefits.
The ICT is designed to bring the payer and provider together in promoting better health and better care for this vulnerable population. Once the ICT is established, BlueCare PlusSM schedules a team meeting with the Primary Care Provider (PCP), Nurse Practitioner (NP) or Physician Assistant (PA), the member and/or caregiver, and any other clinical professionals participating in the member’s health care.
The purpose of the ICT is to bring all providers who are treating a member together to discuss members’ health care needs, gaps in care, medications, and necessary services. The ICT is intended to bring about awareness to all providers who are treating the member regarding all services the member is receiving.
81 year old member with preventive gaps in care worked with her BlueCare Plus Care Coordinator to take control of her health care needs and is now back on track. She was so excited about the positive change she had made, she became an advocate and encourages neighbors to do the same.
BlueCare Plus new member with behavioral health needs had multiple emergency room trips that appeared to be non-emergent. BlueCare Plus assigned a Care Coordinator who contacted the primary care physician (PCP) to discuss health care needs and offered the services of our Behavioral Health Care Coordinator to work with the PCP to develop a plan for the member»s behavioral health needs. As a result of that collaboration, no more trips to the emergency room.
This page was updated on October 1, 2017