Intensive Care Coordination Services

What Are Intensive Care Coordination (ICC) Services?

Intensive Care Coordination (ICC) Services provide help and resources for members who have special healthcare needs. The priority population for ICC can include members who: 

  1. are older adults, individuals who are hard of hearing, deaf, blind, or have other disabilities; 
  2. have complex or high healthcare needs, or multiple or chronic conditions,
  3. have Serious and Persistent Mental Illness, or
  4. are receiving Medicaid-funded long-term care services and supports (LTSS); 
  5. are children ages 0-5: a) Showing early signs of social/emotional or behavioral problems or; b) Have a Serious Emotional Disorder (SED) diagnosis; 
  6. are in medication-assisted treatment for Substance Use Disorder (SUD);
  7. are women who have been diagnosed with a high-risk pregnancy; 
  8. are children with neonatal abstinence syndrome;
  9. children in Child Welfare;
  10. are IV drug users;
  11. have a SUD in need of withdrawal management;
  12. have HIV/AIDS or have tuberculosis;
  13. are veterans and their families;  
  14. are at risk of first episode psychosis, or
  15. individuals within the Intellectual and developmental disability (IDD) populations. 

How do I access ICC Services?

To access ICC Services or request a health risk screening for ICC services, you can self refer. Also, someone on your health team can make a referral on your behalf. 

To make a referral or request a health risk screening:

  • Call Member Services at 1-877-600-5472. Request ICC Services. 
  • You will receive a response within one business day. 

There may be times that we reach out directly to you to offer ICC services. This happens when we get information that your care needs may be increasing. This also happens when you have a new diagnosis that is part of the prioritized population. 

What is ICC Risk Screening?

Whether you request a referral or we reach out to offer ICC Services, we will ask you to complete ICC risk screening. The screening looks at many areas to figure out what you may need from a social, physical, and behavioral health aspect. 

  • If you are eligible, you will be offered ICC services. If you choose to have ICC Services, you will be assigned an ICC Care Coordinator. The ICC Care Coordinator will be the one point of contact for your care needs. You will receive their name and telephone number. They are available during normal business hours, Monday through Friday.
  • If you are not eligible or not interested in ICC Services, you may be offered other internal Care Coordination or Care Management programs based on findings of your screening. The ICC Care Coordinator will work with you, your representative (if you have one) and your medical team to coordinate your care. 

What is an ICC Plan?

An ICC Plan will be developed within 10 days of you choosing to join in ICC Services. It will include:

  • your identified needs
  • barriers
  • activities
  • resources to support achieving and maintaining your personal goals, health and safety

This is your plan. It is important that it is holistically developed with you and your team. Depending on your needs and barriers, the plan may contain multiple team members that are responsible for their areas of expertise. These areas can include but are not limited to:

  • physical
  • oral
  • behavioral
  • social
  • developmental
  • educational
  • spiritual, 
  • cultural
  • financial 

The ICC plan is updated with you and your team's input at least every 90 days, or sooner, if needed.