Services

 

case management for children and pregnant women

Case management services are a free Medicaid benefit that:

  • Helps eligible clients access medical and educational services.

  • Enables patients to follow through on medical recommendations.

  • Prevents new health problems or worsening of existing problems.

  • Optimizes healthcare outcomes.

Eligibility checklist

Is the client:

  • Eligible for Medicaid?

  • A child, ages 0 - 20, with a health condition or health risk?

  • A woman with a high-risk pregnancy?

  • In need of services related to the health condition/risk?

Note: You don't need to determine eligibility. If a client appears to have a need for case management services and appears to be eligible, you should make a referral.

 

 

Examples of case management services

  • Finding a doctor and scheduling appointments.

  • Linking to developmental testing.

  • Addressing school needs.

  • Linking to services for financial assistance or transportation in cases of pregnant women facing eviction or having difficulty attending appointments due to lack of transportation. 

  • Finding other resources, such as respite. 

  • Coordinating DME, home health nursing, etc. 

referrals

Anyone in your office can refer a client for case management services. To make a referral, either:

  • Call Pam's Kids at 1-800-758-8011 or, 

  • Fill out this Referral Form and fax to 1-800-888-1315 or,

  • Fill out the referral form online and submit it online. 

Please click here to read about additional ways that Pam’s Kids LLC serves the community.