Provider Disease Management Files & Forms

The Health Plan’s Disease Management and Health Promotion Programs are multi-disciplinary and continuum-based systems developed to proactively identify populations with, or at risk for, chronic medical conditions. Populations currently being managed include members with diabetes, chronic heart failure, and chronic obstructive pulmonary disease. The Health Plan’s pregnant members are also monitored with the intent to identify those at high risk for premature delivery.  

• Disease Management Program Descriptions (see file below)
• COPD Guidelines
• Diabetes Guidelines
• Heart Failure Guidelines

The guidelines above are updated every two years or with changes and mailed to providers. Please call 1.800.624.6961, ext. 7659 or 740.695.7659 if you require another set of guidelines and we will mail them out to you. If you have additional questions about the Disease Management Guidelines, you can call 740.699.6110.

• Provider Prenatal Risk Screening Form