Referrals generally come from HealthChoice providers and health plans.

Services are primarily provided face-to-face in the home  by registered nurses, licensed social workers, and care coordination associates. The goal is to establish or restore the health plan/Primary Care Provider link to the enrollee by removing identified barriers to care. Services may also be provided to other household members.

Services may include some or all of the following:

• Education on accessing care in HealthChoice, the importance of preventive health care, the use of health plan Member services, the HealthChoice Enrollee Action Line, and other needs based on assessment 

• Linkage to the health plan, Primary Care Provider, Family Planning, and other appropriate community resources such as WIC, daycare, transportation, social services, and school health

How Do I Reach Care Coordination Staff?

Care Coordination

410-649-0500

How Do I Make a Referral?

Referrals are received via the Local Health Services Request form (DHMH 4582).  Referrals are initiated by the health plan.  All requests should be sent to:

Attention: Kyna Ferebee, Referral Coordinator

Use the address below.