Your patients may need extra support when managing a chronic condition or a
more complex health situation. Health coaching provides our members, your
patients, with an added level of support to help them stay healthy, manage
their chronic condition(s), identify emerging risk, follow your treatment plan,
and navigate their health journey.
Patient access to AmeriHealth Health Coaches and our care management
programs enhances your ability to provide coordinated care for your patients,
who are AmeriHealth members, and promotes integration of care among members and
their families, physicians, and community resources.
Please review the following updated program descriptions:
- 24/7 Health Information Line. AmeriHealth members can call
anytime to speak with a Registered Nurse Health Coach about general health
questions and concerns. AmeriHealth New Jersey members can call
1-888-YOUR-AH1 and AmeriHealth Pennsylvania members can call
1-800-275-2583.
- AHNJ WireTM Relay
Messaging. AmeriHealth New Jersey members who enroll in AHNJ
Wire, via email or enroll in our text messaging program, will receive
outreach messages based on Healthcare Effectiveness Data and Information Set
(HEDIS®) gaps, hospital discharge, or general health.* Some
messages provide members with the option to call a Registered Nurse Health
Coach or receive more information from links provided within the message.
Please encourage eligible AmeriHealth New Jersey members to enroll in AHNJ
Wire.
- Case management. Case management provides support to
members who are experiencing complex health issues, multiple chronic
conditions, transitions in care, or challenges in meeting their health care
goals. Complex Case Management services include Registered Nurse Health Coaches
to educate and support members as well as Social Workers to assist with
connections to community resources as appropriate. Enrolled members who
participate with AHNJ Wire will receive educational messages based on
diagnosis and gaps in care.
- Condition management.† Condition
management is available to eligible members for specific chronic conditions
such as asthma, diabetes, COPD, hypertension, and congestive heart failure.
Members newly diagnosed who require support and education (emerging risk) as
well as members who experience difficulty with condition management or
exacerbations may benefit from referrals for this service. Eligible enrolled
members who participate with AHNJ Wire receive educational messages
based on diagnosis and gaps in care.
- Baby FootSteps® maternity program.
Expecting AmeriHealth members can self-enroll in this free program to receive
support from an experienced Registered Nurse Health Coach throughout their
pregnancy. Please encourage expecting AmeriHealth members to enroll by calling
1-800-598-BABY. Eligible enrolled members who participate with
AHNJ Wire receive educational messages on prenatal care including
compliance with prenatal care and testing, hydration, and nutrition. Baby
FootSteps members receive outreach for screenings to identify high-risk
indicators and offered support for prenatal depression, risk of postpartum
depression, and tobacco cessation. Obstetrical Registered Nurse Health Coach
provide education and support to expecting AmeriHealth members who have been
identified as high-risk throughout the term of her pregnancy.
If you would like to refer a patient, who is an AmeriHealth member, to one
of the programs listed above, complete the online physician referral form for
AmeriHealth New Jersey or for AmeriHealth Pennsylvania, or call
1-800-313-8628.
*Standard message and data rates may apply.
Text STOP to stop and HELP for help. Terms and Conditions are
available at myhelpsite.net/amerihealth. Notification messages within
AHNJ Wire are sent via automated SMS.
Enrollment in AHNJ Wire is not a
requirement to purchase goods and services from AmeriHealth New Jersey. Wire is
a trademark of Relay Network, LLC.
†AmeriHealth members who are covered
through fully insured employer groups are automatically considered eligible for
condition management. Members covered through certain self-insured employer
groups may not be eligible for the program. AmeriHealth New Jersey members can
call 1-888-YOUR-AH1 and AmeriHealth Pennsylvania members can
call 1-800-275-2583 to verify their eligibility.
HEDIS® is a registered trademark of the
National Committee for Quality Assurance (NCQA). Used with permission.