member with spina bifida resides with his elderly mother, who is the sole
caregiver. Over the course of regular contacts with the UnitedHealthcare
clinical coordinator, several needs were identified to help the member be an
active part of the community, be safe in his home and also provide the mother with
support and help.
recently, in a regular contact with the member’s service coordinator and
mother, it was identified that the member could benefit from physical therapy.
He had recently been diagnosed with Type II Diabetes and had put on some extra
weight during the winter months. The service coordinator and mother were not
sure how to obtain a referral for the physical therapy that they felt he
needed. The clinical coordinator called the primary care physician’s office
asking if an order could be written for a physical therapy evaluation. The physician
gladly wrote the order and the member received an evaluation and is currently
working on home physical therapy exercises to increase his activity level.
only did the clinical coordinator arrange for appropriate healthcare needs,
explained benefits, and answered claims questions, she provided
information to the member’s mother and brother from the Aging with Dignity
Associations’ Five Wishes Program. As individuals age, the physical demands become
more challenging and families experience emotional strain.
The clinical coordinator helped the member and his mother
connect to the right services and supports for the member to be more mobile and
independent. The mother has repeatedly expressed appreciation for UnitedHealthcare
clinical coordinator’s willingness to support her son’s special needs.
A 60-year-old WellCare
of Nebraska member with chronic heart disease called the CommUnity
Assistance Line (CAL) for help with paying his electricity and water bills. He
had already received a disconnection notice and, due to his recent cardiac
rehabilitation, he was concerned that he would not be able to gather the funds
before both utilities were turned off.
CAL is a referral tracker
database with thousands of community organizations and activities that are
available to low-income families and children such as food, education, and
utility assistance; transportation, disability and homeless services; and
support groups and childcare services. It is available for WellCare members as
well as the public throughout Nebraska.
Liaisons Angela and Brenda worked together to refer the member to the Eastern
Nebraska Action Partnership in Omaha. After filling out an application and
meeting the income guidelines, the Partnership was able to pay $500 directly to
his utility companies, preventing any shutoffs.
He was very
pleased with the assistance he received from CAL and said it was a “big relief.”
“Thank you for helping me with my needs,” the member said.