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About Disease Management
Centralized Care Unit (DMCCU)

Anthem Blue Cross and Blue Shield Medicaid's Disease Management Centralized Care Unit (DMCCU) is based on a system of coordinated care management interventions and communications designed to assist physicians and others in managing members with chronic conditions.

DMCCU services

DMCCU services include:

  • A holistic, member-centric approach to disease management focusing on the needs of the member
  • Motivational interviewing techniques used in conjunction with member self-empowerment
  • Disease Management programs for asthma, bipolar disorder, CAD, CHF, COPD, diabetes, HIV/AIDS, hypertension, major depressive disorder, schizophrenia and substance use disorder
  • The ability to manage more than one disease to meet the changing health care needs of Anthem's member population
  • Weight management assistance

In addition, Anthem assists with management of prenatal cases in high-risk populations.

Our mission

The mission of the Disease Management Centralized Care Unit is to improve the health and quality of life for Anthem members by encouraging member self-care efforts, coordinating health care education and providing interventions along the continuum of care.

About Anthem disease management programs

Programs Feature

  • Proactive population identification processes
  • Chronic disease care gaps identification
  • Evidence-based national practice guidelines
  • Collaborative practice models to include physician and support-service providers in treatment planning for members
  • Continuous patient self-management education, including primary prevention, behavior modification programs and compliance/surveillance, as well as home visits and case management for high-risk members
  • Process and outcomes measurement, evaluation and management
  • Ongoing communication with providers regarding patient status
Objectives

DMCCU objectives are to:

  • Address gaps in care
  • Improve the understanding of disease processes
  • Improve the quality of life for our members
  • Change third bullet to: Improve the quality of life for Anthem's members
  • Support network provider relationships with members
  • Increase network provider awareness of DMCCU programs
  • Reduce acute episodes requiring emergent or inpatient care
Who Is eligible?

All Anthem members with the condition diagnoses noted above are eligible for Disease Management Centralized Care Unit services. Members are identified through continuous case finding efforts, including continuous case-finding welcome calls, claims mining and referrals.

DMCCU Forms

The Anthem DMCCU and our disease management programs do not advertise, market or promote specific products or services to members or providers.

The Anthem DMCCU and our disease management programs do not have any financial ownership arrangements with anyone who advertises, markets or provides the goods and services we offer.

Hours of Operation

  • DMCCU case managers, licensed nurses and social workers are available Monday through Friday from 8:30 a.m. to 5:30 p.m. local time.
  • Confidential voicemail is available 24 hours a day, 7 days a week.
  • Care on Call is available 24/7 for our members.

Contact Information

Please call 888-830-4300 to reach a DMCCU Case Manager.

Your patients can get information about DMCCU program services by visiting www.anthem.com or calling 888-830-4300.

How can you use DMCCU services?

Maximize your time

As a valued provider who could use some help in following up with patients,...Read More you can refer your patients with asthma, bipolar disorder, CAD, CHF, COPD, diabetes, HIV/AIDS, hypertension, MDD, schizophrenia and substance use disorder who could benefit from education or care management to DMCCU. Read Less

Get help with treatment plans

In order to assist in managing patients, DMCCU requests your input for ...Read More patient treatment plans. Disease management information and the most up-to-date clinical practice guidelines are provided to assist you in creating individualized plans of care. Read Less

Receive feedback on your patient

Providers receive feedback on members enrolled in disease management...Read More programs through member status letters, care plans and telephonic communications. Feedback includes assessments of how well the condition is being managed, adherence to treatment plans, patient goals, and psychosocial and safety issues while enrolled in a disease management program. Feedback is provided weekly, monthly, quarterly, annually or as needed based on the severity of the member’s condition. Read Less