Texas Medicaid Enhanced Care Program/Texas Medicaid Enhanced Care/Disease Management information provided by: the Alamo Area Council of Governments

A disease management program for Medicaid Fee-for-Service clients has been launched for persons who have been identified through claims data as having one or more of the following chronic conditions: asthma, diabetes, congestive heart failure (CHF), coronary artery disease (CAD) and chronic obstructive pulmonary disease (COPD). Clients will receive education and counseling from a specially trained registered nurse; regular nurse calls or face to face visits; 24-hour access to symptom evaluation an disease education; easy-to-read written materials; care coordination to include accessing program specific, as well as local resources; a toll-free nursing hotline to help patients decide whether they need to seek additional medical care or if the problem can be handled at home; community-based registered nurses who are experts in specific diseases and can offer face-to-face assistance; and registered nurses who will work closely with clients' physicians and treatment teams to implement personal treatment plans.

Area(s) Served:
Atascosa, Bandera, Bexar, Comal, Frio, Gillespie, Guadalupe, Karnes, Kendall, Kerr, McMullen, Medina, Wilson

Fees:
No fees.

Application Process:
HHSC has sent a letter to all Medicaid clients who are eligible.

Eligibility Requirements:
Must receive Medicaid and have diagnosis of asthma, diabetes, congestive heart failure, coronary artery disease or COPD.

Record last updated: Dec 6 2013 9:31AM
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