Our Disease Management (DM) programs are based on a system of coordinated care management interventions and communications designed to assist physicians and other health care professionals manage members with chronic conditions.
The mission of the DM program is to improve the health and quality of life for the members served by encouraging member self-care efforts, coordinating health care education and providing interventions along the continuum of care.
Members diagnosed with one or more of the conditions listed below are eligible for DM services.
To refer a member, fax a completed Disease Management Referral Form to 1-888-762-3199 or access the form via Availity.
DM aims to:
If you have patients with one or more of the conditions listed above who could benefit from additional education or care management, we encourage you to refer them to DM.
DM invites your input for patient treatment plans. We provide you with DM information and the most up-to-date Clinical Practice Guidelines (CPGs) to assist you in creating an individual plan of care. CPGs are available on Availity (login is required).
Providers can also access Patient360 via Availity to obtain feedback regarding their patients’ care plans and condition management while enrolled in DM programs.
Call 1-888-830-4300 Monday through Friday, 8:30 a.m. to 5:30 p.m. local time.
Confidential voicemail is available 24 hours a day, 7 days a week.
You have the right to information about Anthem Blue Cross (Anthem), including:
You also have the right to:
A copy of these rights and responsibilities can also be found in the provider manual.
Our DM programs do not advertise, market or promote specific products or services to members or providers.