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Complex Care Management

Complex medical needs often require extra monitoring – and Complex Care Management offers that for our members.

The goals of Complex Care Management (CCM) are:

• To help you better understand your medical conditions and how to manage them.
• To help you participate in your own health care decisions.
• To help you identify the need for care management if you have multiple or complex medical needs.
• To work with you on a plan to achieve your health goals through education.
• To provide early interventions to help prevent unnecessary hospitalization or emergency department visits.
• To help you receive the most appropriate care for your complex medical needs.
• To collaborate with all members of your health care team.

What does CCM do?

We help you better understand your complex health needs and how to manage those needs, and how to receive the most appropriate care. This may include:

• Helping you learn to manage your health to improve the quality of your life, ability to function, and your overall health.
• Assistance with navigating the health care delivery system and understanding your health care benefits.
• Assistance in arranging your appointments.
• Referral to Kaiser Permanente programs and other community resources.
• Supporting you, your family, and your caregivers.
• Assistance with your life care planning, including medical power of attorney and end-of-life decisions.

How do I get into the CCM program?

If you are identified as being high-risk for complications based on your complex medical history (that may include frequent hospitalizations and emergency department visits), CCM might be a fit for you. You may be referred to the program by a hospital, skilled nursing facility, emergency department, your primary care provider, a clinical pharmacist, or your specialty provider. You may also request enrollment by contacting your provider directly.

Most often contact with a CCM provider will be by phone, unless an in-person visit is advised or requested. Phone visits are of no charge to members, but an office visit may be subject to a copay. Review your Evidence of Coverage (EOC) for specific information about your health care coverage and costs.

For more information about the CCM program, please call 303-614-1065 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m.

Program type: Individual counseling

Who can attend: This program is open to Kaiser Permanente members only.

Referral required: No

Fee(s): Fee required. Please call for more information.

Class taught in: English

Department: Chronic Conditions Management

Area: Colorado - Denver/Boulder

Date last updated: 8/20/2018
Updated by: Jackie Rogers, BA