Case Management

Upper Peninsula Health Plan’s Complex Case Management (CCM) program is designed to help you in managing the care of your members who have:
  • Diabetes
  • Congestive heart failure
  • Hypertension
  • Uncontrolled asthma
  • Chronic pain
  • Other complex conditions
The program’s objective is to help members with chronic and complex conditions to obtain access to care and obtain services needed to help them self-manage their disease. CCM clinicians help to identify members and provide support and interventions.  They complement the primary care provider’s plan of care to help members better manage their individual complex diseases and achieve the best outcomes possible. Clinician interventions include:
  • Care of coordination between providers
  • Individualized plans of care with prioritized goals
  • Provide educational materials to members
  • Care coordination between providers and community organizations
  • Coordinate transportation help when needed
  • Telephone calls to members
If you have a member patient whom you feel would benefit from the CCM program, call Customer Service at 1-877-349-9324 or fill out the Clinical Services Care-Coordination/Case-Management Referral Form, found below.

Care-Coordination/Case-Management Referral Form

Page Last Updated: 12/12/2018