Care Management Services

Banner Medicare Advantage Care Management process has a primary purpose of coordinating care needs for members who are medically complex and require intensive physical, and or behavioral health support services.

Care Management also includes a group of activities performed by Banner Medicare Advantage to identify and manage clinical interventions or alternative treatments for identified members to reduce risk, cost, and help achieve better health care outcomes. Distinct from Case Management, Care Management does not include the day-to-day duties of service delivery.

For additional Care Management information, please refer to the Banner Medicare Advantage Provider Manuals section.

Care Management Interventions

Banner Medicare Advantage Care Management interventions include, but are not limited to, educating individuals and/or their Health Care Decision Maker such as:

  1. Outreach phone calls/visits
  2. Educational letters
  3. Behavioral health referrals
  4. High Need/High Cost program referrals
  5. Disease/chronic care management referrals
  6. Exclusive pharmacy referrals
  7. Social Determinants of health resources

Care Management Contacts

Care coordination services are available to special/at-risk members in conjunction with their caregivers and providers. Please notify the Care Manager if you need assistance.

Behavioral Health Care Management

Care Management