HBI Case Management

Case Management is a critical feature of HBI’s Special Needs Program offered to Medicaid plan recipients who require additional services, community support, and hand-over-hand interventions in order to get stabilized and be receptive to treatment in a community setting. This predominantly crisis-oriented population need immediate and comprehensive services that are typically not associated with established standards of care.

HBI’s Case Management program is structured and recovery-focused; offering clients a successful transition back to a productive and independent community living. HBI Case Managers guide members through the process of obtaining basic social needs (i.e., housing, food, transportation, etc.), and motivates the members to engage in treatment (i.e., mental health, substance use disorder, and/or medical care), improve therapeutic compliance, and reduce ED/hospital readmissions. HBI Case Managers primarily work within the realm of mental health and substance abuse services. When a medical component is identified, the HBI Case Managers work closely and/or transfer patients to the Health Plan Case Managers for the coordination of medical services and referrals.

Case Management Program Features:

  • Early Identification of High Risk Patients
  • Assessment and Screening
  • Evaluation and Referral
  • Individual Treatment Plan
  • Admission and Discharge Planning
  • Recovery Plan
  • Assistance in obtaining social assistance (i.e., transitional housing, transportation, phone, etc.)
  • Coordination with Medical and County Agencies
  • Patient and Provider Education
  • Utilization Review
  • Intervention and Follow-Up
  • Crisis Planning
  • Assistance in accessing and monitoring covered services
  • Multi-disciplinary Team Planning, Management, and Consultation

Care coordination is ideal for patients with the following conditions:

  • Chronic mental illness SED/SMI
  • Co-occurring Disorder Diagnosis (Medical, Mental, Substance Use)
  • History of multiple emergency department utilization and psychiatric hospitlizations
  • History of non-compliance
  • Multiple failed treatments
  • Poor support system
  • Potential homelessness
  • Other

Primary Medical Care Support & Coordination

Integrating behavioral health with primary medical care for certain medical conditions can improve treatment compliance, accelerate medical recovery, and reduce medical costs. HBI offers support and consultation services to primary care physicians to identify those patients who need behavioral health intervention.