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 contracts case management to the 24 PrimeWest Health county Public Health and Human Services agencies (visit our Service Area page for more information about the 24 counties). Case managers play an important role in a member’s 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 Prime Health Complete (HMO SNP), one 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 their county case manager, call the Provider Contact Center at 1-866-431-0802 (toll free).
If you know a member who would benefit from complex case management, please complete the Complex Case Management Referral Form and submit it via fax to 1-320-335-5301.
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Updated_12/14/2022
