Service Coordination Programs

We are here to help. As a Cook Children’s Health Plan member, you may be eligible for one of our Service Coordination Programs at no cost to you.

Health Needs Screening

Cook Children’s Health Plan (CCHP) values your child as a member. We want to make sure our members get the care they need. The health needs screening helps us:

Better understand your everyday life and health needs
Develop a plan of care
Find programs or services that your child may want or need
Make sure your child is getting the most out of their health plan

The screening is optional, but we hope you will consider answering the questions. Your answers to these questions will remain confidential and will not affect your coverage.

There are different ways to complete the health needs screening. Please call us to find out more. You can reach us at 1-800-266-5517 or 682-885-2252 from 8 a.m. to 5 p.m., Monday through Friday. We look forward to speaking with you!

The Health and Wellness Program promotes health screenings and wellness programs for improved health. We offer tools that provide you with information to promote health and wellness, including:

Healthy weight maintenance
Quitting smoking
Encouraging physical activity
Healthy eating
Managing stress
Avoiding at-risk drinking
Identifying depression symptoms
Diabetes Education

If you have asthma or diabetes, our Disease Management Program can help you. We will mail you information to help you understand and manage your condition. You may also receive a call from one of our team members. They will:

Help you create health goals and make a plan to reach them.
Support you through one-on-one phone calls.
Provide you information about local support resources.
Answer any questions you might have about your condition and your treatment plan.
Coordinate your care with your health care providers.

Please click here for asthma and diabetes resource information.

What is Service Coordination for Children and Pregnant Women (CPW)?

Need help finding and getting services? You might be able to get a Service Coordinator to help you.

Who can get a Service Coordinator?

Children, teens, young adults (birth through age 20) and pregnant women who get Medicaid and:

have health problems, or
are at a high risk for getting health problems.

What do Service Coordinators do?

A Service Coordinator will visit with you and then:

Find out what services you need.
Find services near where you live.
Teach you how to find and get other services.
Make sure you are getting the services you need.

What kind of help can you get?

Service Coordinators can help you:

Get medical and dental services.
Get medical supplies or equipment.
Work on school or education issues.
Work on other problems.

Referrals for CPW can be made to CCHP in the following ways:

STAR:

Email to CCHPStarChipCM@cookchildrens.org or STAR/CHIP Service Coordination Phone Queue at 1-800-964-2247

STAR Kids:

Email to CCHPStarKidsSCUrgent@cookchildrens.org or STAR Kids Service Coordination Phone Queue at 1-844-843-0004

Pregnancy is an amazing time for a woman. It can also be a time full of questions. The Baby Steps team is here to answer your questions. Our team is made up of nurses and community health workers. They will send you pregnancy, postpartum and newborn information. If you have a high-risk pregnancy, you will have a Service Coordinator. The Service Coordinator will answer questions and help you find any services you need. A high-risk pregnancy means you have something that raises your or your baby’s chance for health problems or early (preterm) delivery.

Our Members with Special Health Care Needs (MSHCN) are eligible for these programs. A MSHCN is someone who:

Has a serious ongoing illness, a chronic or complex condition or a disability that will likely last for a long period of time
Requires regular, ongoing treatment and evaluation for the condition by appropriate health care personnel

You will have your own Service Coordinator. They will help you get the services you need by:

Completing an assessment to identify your needs.
Creating a service plan or care plan to meet your needs.
Talk to you about the plan to make sure you understand and agree
Work with you and your doctors to help you get needed services

Cook Children’s Health Plan has multiple avenues for members to be considered for complex Service Coordination services, including, but not limited to:

Medical management program referral
Discharge planner referral
Member or caregiver referral
Practitioner referral

Each referral is reviewed to enroll members in to Complex Service Coordination based on available information and telephonic member assessment. Participation in this program is voluntary and at no cost for all eligible Cook Children’s Health Plan members. If you would like to refer a member or if you would like more information about eligibility for this program, please call 1-800-964-2247 (Monday through Friday from 8:00 am to 5:00 p.m. local time).

You do not need to have a referral from your doctor to join. If you qualify for any of these programs, you can call us at 1-800-964-2247 Monday through Friday from 8:00 am to 5:00 p.m. local time. Members that are eligible for any of these programs that require contact between them and Cook Children’s Health Plan staff will receive the following information:

How they became eligible for the program
How to use program services
How to opt in or out of the program

Service Coordination Program outreach and ongoing management for our members will be made by phone. All calls are live between Service Coordinators and the member. If you do not want to join any of these programs, you can opt out at any time by calling the same number. This means that we will take you out of the program but it will not affect your benefits.

Service Coordination Programs

Health Needs Screening

Health and Wellness Program

Disease Management (DM) Programs

Service Coordination Services for Children and Pregnant Women (CPW)

What is Service Coordination for Children and Pregnant Women (CPW)?

Who can get a Service Coordinator?

What do Service Coordinators do?

What kind of help can you get?

Referrals for CPW can be made to CCHP in the following ways:

Baby Steps Program

Service Coordination & Service Management/Complex Service Coordination/Service Coordination Programs

Referral Process

How to Join One of Our Service Coordination Programs