Case Management

Provider Benefits

AccessCare provides its volunteer member primary care practices with:

  • Ongoing education and training;
  • Data analysis on utilization patterns and performance;
  • Continuous quality improvement initiatives;
  • Centralized disease management program development efforts; and
  • Opportunities for input into AccessCare and Medicaid policies and procedures.

In addition, AccessCare provides technical support to each volunteer participating practice, including employment of local care managers and partial to full reimbursement for additional operating costs.

Patient Benefits

To be eligible for free case management services, a patient must receive Carolina ACCESS Medicaid, and the patient’s primary care physician must be a member of an AccessCare participating medical practice. 

AccessCare's case managers then provide patients the following on a no-charge basis:

  • Individualized disease management sessions that provide information in the home, school and/or clinic;
  • Communication with the primary care provider regarding patient goals, plans, education, and compliance issues
  • Information and referrals to community agencies;
  • Telephone and written contacts to remind patients of upcoming appointments, medication management and referrals; and
  • Collaboration with the primary care provider, Department of Social Services, mental health, school nurses, and other community agencies to ensure continuity of care.