What is Care Coordination?
Long Term Care Partners’ care coordinators (all registered nurses) are available under the Program to provide general information about long term care services, assess and approve your need for long term care services, develop a plan for your receipt of long term care services, and then monitor and reassess those services. The care coordinators can tell you about any providers in your area who offer discounts for the services you need and provide other assistance such as locating community resources. Care coordination services are also available to your qualified relatives even if they aren’t enrolled in the program, as long as you are enrolled in the Program. (Certain services for qualified relatives may be provided at an additional charge.
Care Coordination: Care coordination engages families in the development of a medical home. A medical home is not a place but instead an approach to providing comprehensive care. Care coordination in the medical home includes ensuring a care plan is in place linking families to services that address the full range of their needs and concerns. A medical home allows the family to play a central role in their child’s care. This central role includes recognizing individual child and family needs, strengths and concerns. Care coordination aims at meeting family needs, building family capacity and improving systems of care. Care coordination requires service providers, families and agencies to work together to provide individualized care and support to improve outcomes for the child.
