Iowa Total Care’s Care Management teams are available to assist members with medically or socially complex needs that may benefit from increased coordination of services to optimize health and prevent disease. Our Care Management Department is staffed by individuals with extensive medical or social work experience in areas such as obstetrics, oncology, behavioral health, medical/surgical, HIV/AIDS, and physical rehabilitation for children and adults.

Early intervention is essential to maximize treatment options while minimizing potential complications associated with catastrophic illnesses or injury and exacerbation of chronic conditions. A Care Manager is available Monday through Friday, from 8 a.m. to 5 p.m. CT to assist with coordination of the member’s healthcare needs.

The following conditions and/or diagnoses are examples of appropriate referrals to the Care Coordination Department:

• Adults or children with Serious or Complex Medical Needs
• Social Issues (social isolation, hunger, housing, domestic violence)
• Asthma
• Diabetes
• High Blood Pressure
• Heart Problems
• COPD

The provider’s role in Iowa Total Care’s Care Management program is extremely important. Practitioners who have identified a member who they think would benefit from disease or case management should contact the Care Management Department to speak with a member of our Integrated Care Team at 1-833-404-1061.

Partnerships in Care (PiC) Program

Our Partnerships in Care (PiC) program uses data analytics and clinical reviews to enhance our partnership with you as the provider to maximize treatment successes. This approach is based on our philosophy that quality member care is achieved through purposeful collaboration with providers that service our members receiving a multitude of behavioral health services. 

If you are identified as a provider that could benefit from participation in the Partnerships in Care program through a data analysis, we will review members' clinical documentation then collaborate with you to highlight areas of strengths and opportunities.