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Helping to Secure Support for Basic Necessities

During a home visit by the MMP, the member and his wife/caregiver shared with the Care Coordinator and Community Health Navigator (CHN) their financial struggles and resulting difficulties with buying adequate food.  Both the member and caregiver had significant medical conditions, neither are able to drive, and there is no family support in place.  The CHN helped secure plenty of food from local food bank, and assisted the member with completing paperwork to receive monthly food pantry donations.  The member and wife expressed sincere appreciation for the assistance the MMP was able to provide.           

“Great things get done when people come together as one.”

The MMP’s Community Health Navigator (CHN) received a call on a Friday morning from a member’s daughter. The daughter explained that the member had just returned from the emergency department after fracturing his right foot and needed a wheelchair immediately. She has difficulty moving her father from room to room and to any appointments. Recognizing the urgency of the request, particularly with the upcoming weekend, the CHN worked with the daughter, the emergency department nurse, the attending doctor who helped the member, the member’s primary care provider, and the durable medical equipment provider to gather the necessary information and complete the forms needed to expedite the request. That Friday evening, the member received the wheelchair and the CHN received a message from the member’s daughter stating, “Thank you for your help. All of this could not had been done if it wasn’t for the teamwork from all parties. Great things get done when people come together as one.”

“I don’t know how we would have made it without you.”

Our member was receiving long term services and supports (LTSS) when he was evacuated from a potential flood zone due to Hurricane Florence.  Once relocated to a safe location, the member’s wife, who had mobility issues, experienced trouble with care for her husband without his hospital bed. The MMP care coordinator quickly worked with the member’s waiver case manager and interdisciplinary care team to find a nursing facility in a nearby town that would accept the member until he could return home. The MMP advocated for the member’s wife to be able to stay in the facility with her husband as they didn’t want to be separated during the storm. The wife expressed feeling blessed that they were with the MMP and said, “I don’t know how we would have made it without you.”

 
 

“Flexible benefits are a good thing and very helpful."

During a home visit a member explained how depression and increased pain was affecting her daily activities.  The member needed assistance with cooking, cleaning, bathing and dressing. Her MMP care coordinator explained the benefits of the waiver program and the plan’s flexibility to offer waiver-like services while she applies for a waiver program. After their discussion, the care coordinator made a request for waiver-like benefits and a referral for a Community Long Term Care (CLTC) Community Choices waiver. The member was approved for waiver-like personal care services while awaiting CLTC waiver application to be approved.  The member stated that with having the extra help she is not as stressed and that flexible benefits are a good thing and very helpful.

“My health plan has really made a difference in my life.”

The story below showcases one of many examples of how Healthy Connections Prime Care Coordinators are making a difference in the lives of Healthy Connections Prime members. To learn more about the role of our Care Coordinators, take a look at the Care Coordination Overview   

Our member stated he always wanted to join the Army like his brother who received several awards and honors, but he could never join because he had to care for his sick mother. The member often proudly told his care coordinator about when his health plan featured his support for his mother in their newsletter. When the member requested a copy of the newsletter, his care coordinator framed it and presented it to him at his next home visit. Upon receiving it, the member became emotional, expressed his gratitude, and stated, “I have never received any awards or honors before, and I’m going to carry it around to show all my friends.”

 

 

“Prime is overall the best insurance I have ever had. I like it very much! Having Healthy Connections Prime has benefited me well. I have been able to get a lot of things done that were not getting done before."

The member is paraplegic since early childhood and currently lives alone, with family members staying at night with her. During a health reassessment visit held at her home, the member's Care Coordinator noticed that the home's floors critically needed repair. The condition of the floors created safety concerns for the member and impeded her ability to easily leave the home but the repair costs were too high for the member to cover. The Care Coordinator made a referral to the waiver program for support and also submitted the member’s name to a church home repair program. Fortunately, the church selected the member's home as one of their summer projects and much needed major repairs were completed. Our member now has a new floor, new roof, repaired bathroom, updates in her kitchen, and a new fan that has a cord that she can reach from her bed. Thanks to her Care Coordinator's support, her home was made more comfortable, safer, and more accessible for her.

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