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Care Coordination
Are your health instructions hard to understand? YES NO
Do you have many different doctors who help take care of your needs? YES NO
Do you need help learning what services your insurance covers? YES NO
Do you face problems when you order new equipment or a new medicine? YES NO
Do you wish you could have help to get the extra services you need? YES NO
Do you want to figure out what community services would be good for you? YES NO

If you answer yes to a few of these questions, then care coordination may be for you.

doctor, male with disability and care giver discussing care coodination

What is Care Coordination?

  • It is a way to focus your care on you as the patient.
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  • It figures out your needs.
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  • It organizes your care.
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  • It uses a written plan.
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  • It shares info with the people who need it.
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  • It gets the whole team to work together.

Video

Care Coordination for Patients

Teaching adults with intellectual/developmental disabilities what a care coordinator can do to help.

Tips for healthcare teams in using care coordination for their adult patients with intellectual/developmental disabilities. Video - https://youtu.be/cH0zc6ReMpU?si=Ox4kYsr--34-JNYB

image of a cartoon boy with question marks above his head next to a cartoon iphone that has the state of indiana and text that says ask your insurance, ask your primary care team, call IN F2F 844-323-4636

How can you get this kind of help in Indiana?

  • Ask your primary care team for ideas.
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  • The answer may depend on your insurance.
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  • Find out if you might be eligible for a new program or plan that has care coordination.
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  • Some health systems have programs.
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  • Indiana Family to Family may offer ideas at 844-F2F-INFO (844-323-4636)
    • INF2F is a community organization where families offer support and ideas to families of persons with special needs and disabilities.

Tap to flip the cards.

Indiana Medicaid

Indiana Medicaid

Call and ask member services if you are eligible.

Their number is usually on the back of your insurance card.

Medicare

Medicare

Ask your doctor about chronic care management.

If you have a Medicare Advantage plan, call member services.

Tap to flip the cards.

Indiana Medicaid Waiver Programs

Waiver Programs

Ask your waiver case manager.

Examples:

  • H&W has Integrated Care Coordinators.
  • CIH has Wellness Coordinators.
Indiana Children's Special Health Care Services - CSHCS

CSHCS

If you are under age 21 have an illness and income to be eligible,

ask at 1-317-233-1351 or

1-800-475-1355, Option 2.

Indiana Medicaid Bureau of Disabilities Services (BDS) has programs to give home and community services to persons with IDD.

Many Hoosiers with IDD get services from the Family Support waiver.  

If you have a type of IDD, the first step is to apply.

You will be asked about what limits you have in your life.

 

What can you do yourself?

If you don't have a way to get care coordination right now, you can do a little of your own organizing.

If you wish, you can ask someone you trust to help you gather this info.

Bring all of this info when you go to doctor visits.

  • Keep a list of:
    • your medicine
    • your supplies and equipment
    • your doctors and therapists with their phone numbers.
  • Use your calendar for your future visits.

  • Know your medical history:
    • Illnesses
    • Surgeries
    • Major tests
  • Make a list of questions to share with your team.

Portable Medical Summary

This medical summary form can help keep track of your health plan and health history.

Indiana Family to Family Resources:

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IN F2F Fact Sheets

IN F2F has a long list of Fact Sheets to help you learn about resources in Indiana.

Bonus Tips!

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IN F2F Care Coordination Videos

IN F2F also has videos to tell you more about care coordination.