About the Disease Management Centralized Care Unit (DMCCU)
The mission of the DMCCU is to assist members to achieve optimal health by encouraging self-care, educating members about their disease state and implementing actions appropriate for each enrolled member.
The DMCCU’s services include:
- A holistic, member-centric approach to disease management that focuses on providing the tools and educational support necessary for members to effectively manage their health care needs
- Motivational interviewing techniques used in conjunction with member self-empowerment strategies
- The management of each member’s co-existing diseases to meet the changing healthcare needs of our member population
- Management programs are available for the following disease states:
- Bipolar disorder
- Coronary artery disease (CAD)
- Congestive heart failure (CHF)
- Chronic obstructive pulmonary disease (COPD)
- Major depressive disorder (MDD)
- Substance abuse disorder
Case Managers also offer weight management education and counseling, as well as smoking cessation programs to our members.
Who is eligible?
All Amerigroup Community Care members with the above conditions/diagnoses are eligible for DMCCU services. Members are identified through systematic case finding and assessment methodologies from multiple sources to include, but not limited to, Chronic Illness Intensity Index (CI3) Predictive Model; Gaps in Care (GIC) prioritization indicators; information from welcome calls, claims mining and referrals. Amerigroup and our disease management programs do not advertise, market or promote specific products or services to members or providers. Nor do we have any financial ownership arrangements with anyone who advertises markets or provides the goods and service we offer.
Each Disease Management program features:
- Proactive population identification processes
- Evidence-based, clinical practice guidelines (CPGs)
- Collaborative practice models to include physicians and support-service providers in treatment planning for our members
- Continuous patient self-management education to prevent condition exacerbation and complications, behavior modification programs and compliance/surveillance, as well as home visits and case management for high-risk members
- Process and outcome measurements, program evaluation and management
- Ongoing communication with providers regarding patient status
Disease Management programs are designed to:
Disease Management Referral Form
- Address gaps in care
- Improve the understanding of the disease processes
- Improve the quality of life for our members
- Collaborate to develop member-centered goals and interventions
- Support relationships between members and network providers
- Increase network provider awareness of Disease Management programs
- Reduce acute episodes requiring emergent or inpatient care