Care Management Programs
Depending on their medical needs, our members may participate in special care management programs that provide extra, individualized support.
These programs are provided through Tufts Health Plan, our third-party administrator. They encourage collaboration among our members, nurse care managers, and, with your involvement, support the care the member receives from you. With these programs, members receive telephone support from care managers familiar with their medical treatment plan and needs. To refer a member to one of these programs, call Tufts Health Plan at 1.888.766.9818, x53532 and leave this information:
- Member name
- US Family Health Plan ID number
- Member telephone and/or e-mail
- Reason for the referral
- Your (the provider’s) name and contact information
After you submit a referral, a care manager will contact the member and let you know whether the member has decided to participate. If the member agrees to participate, the care manager will also call you to discuss member health goals and how the program can support your plan of care.
For more information about our care management programs, please see our Provider Manual.