Medicaid Care Management

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Access East, Inc.

Access East is an Affiliate of ECU Health.  CCLCF provides care coordination, complex care management, and provider support services to local contracted primary care providers and their members in our six-county region.

  • Sister network (501c3)
  • Based in Greenville, North Carolina
  • Affiliated with Vidant Health Care
  • Covers 27 county service area to north and west of CCLCF
  • CCLCF provides care management and Practice Support

Our objectives at CCLCF include improving health outcomes and reducing care costs. Promoting improvements in care quality including supporting the Medical Home and supporting patients through the continuum of care.

Carolina Complete Health

Carolina Complete Health, one of the 5 Prepaid Health Plans (PHP) for NC Medicaid Beneficiaries, is the only Provider Led Entity and a venture partnership between Centene Corporation and the NC Medical Society.  The CCLCF Care Team provides Care Coordination, Complex Care Management and Long-Term Support Services (LTSS) Care Management to Carolina Complete Health members in Pender, New Hanover, Brunswick, Columbus and Bladen Counties.  Services also include:

  • Services are offered to members with Social Determinants Of Health (SDOH) needs.
  • Care Managers provide face-to-face visits with Long Term Support Services (LTSS) members

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https://carelcf.org/wp-content/uploads/2020/04/cropped-use.jpg

Patient Rights in English and Spanish

PATIENT RIGHTS AND RESPONSIBILITES (English)
While getting services from Community Care of the Lower Cape Fear, you have the rights listed below.

Personal Rights:

  1. Be treated with courtesy and respect by our staff
  2. Be supported by our staff as you work with your provider to decide your care
  3. Get information that is easy to understand
  4. Not be treated differently or otherwise discriminated against on the basis of race, color, national origin, sex, disability or other protected status

Your Health Information:

  1. How we keep your personal and medical information private and safe
  2. Who can get information that you give to our network

Our Programs and Services:

  1. Ask questions about our programs and services
  2. Know about contracts we have with any other companies
  3. Decide you don’t want or would like to stop our services
  4. Be informed about all care management services, even those not paid for by your insurance
  5. Talk with your medical providers about all options for care management services

Our Staff:

  1. How to change care managers
  2. The qualifications and experience of our staff
  3. The names of staff who will be part of your care management team

Complaints:

  1. How to file complaints with Community Care of Lower Cape Fear
  2. Know how much time it should take for someone to talk with you about your
    complaint and much time it should take for your complaint to be settled
  3. You can email Compliance@CareLCF.org
  4. You can write and mail to 1209 Culbreth Drive, Suite 102, Wilmington, NC
    28405

You also have the responsibility to:

  1. Make a care management plan with our staff that you can agree to follow
  2. Tell a care management team member if you cannot follow the plan
  3. Give staff information needed to provide you services
  4. Let our staff and your medical provider know if you decide to stop our services

 

These policies are adapted from guidelines from the National Committee for Quality Assurance. This is not a state law. 2018.05.25 Version 3 © Community Care of North Carolina 2018

PDERECHOS Y RESPONSABILIDADES DEL PACIENTE (Spanish)

Al recibir los servicios de Community Care of Lower Cape Fear tiene los derechos que se mencionan abajo.

Derechos Personales:

  1. Que nuestro personal lo trate con cortesía y respeto
  2. Que nuestro personal lo apoye mientras trabaja con su proveedor para decidir su atención médica
  3. Recibir información que sea fácil de entender
  4. No ser tratado de manera diferente ni discriminado de otra manera por motivos de raza, color, país de origen, sexo, edad, discapacidad u otro estado protegido

Su información médica:

  1. Entienda cómo mantenemos su información personal y médica de forma privada y segura
  2. Entienda quién tiene acceso a la información que usted da a nuestra red

Nuestros programas y servicios:

  1. Haga preguntas sobre nuestros programas y servicios
  2. Conozca sobre los contratos que tenemos con otras empresas
  3. Decida que no quiere o que le gustaría dejar de recibir nuestros servicios
  4. Que lo informen sobre todos los servicios de administración de la atención, incluso aquellos que no paga su seguro
  5. Hable con sus proveedores médicos sobre todas las opciones de servi-cios de administración de la atención

Nuestro personal:

  1. Entienda cómo cambiar de administradores de atención médica
  2. Conozca sobre las competencias y la experiencia de nuestro personal
  3. Conozca los nombres del personal que formará parte de su equipo de administración de la atención

Si tiene una queja:

  1. Cómo presentar quejas a Community Care of Lower Cape Fear
  2. Saber cuánto tiempo tomará para que alguien se comunique con usted sobre su queja y cuánto tiempo pasará para que su queja sea resuelta
  3. Correo electrónico Compliance@CareLCF.org
  4. Escriba y Envíe un correo a 1209 Culbreth Drive, Suite 102, Wilmington, NC 28405

Usted tiene la responsabilidad de:

  1. Hacer un plan de administración de la atención que esté de acuerdo en seguir con nuestro personal
  2. Informar a un miembro del equipo de administración de la atención si no puede seguir el plan
  3. Dar al personal la información necesaria para que le presten servicios
  4. Informar a nuestro personal y a su proveedor médico si decide dejar de recibir nuestros servicios

 

Estas políticas se han adaptado a las directrices del Comité Nacional de Control de Calidad. No se trata de una ley estatal. 2018.05.25 Versión 3 © Community Care of North Carolina 2018

Have a question? Call us now!

(910) 763-0200

Need support? Drop us an email

info@carelcf.org

Open Monday-Friday

8am - 5pm

Closed Sat-Sun