Members

Health Management Programs

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Health Management Programs

 

Molina Healthcare provides programs to help you and your family in better understanding your health conditions. You may receive a call from a Case Manager (Nurse, Registered Dietitian or Health Educator) who can provide you with education and support based on your health care needs. Health education materials can also be sent to you based on goals set by you and your Case Manager. The programs that are available to Apple Health (Medicaid) Members at no cost include:

 

Molina My Health – Tobacco Cessation Program

Adult members, age 18 and older, who are ready to try and quit tobacco use will work directly with a trained Health Educator to:

  • Make an individualized tobacco cessation plan of care
  • Get support throughout the quit process

 

 

Molina My Health – Weight Management Program

For adult members, age 18 and older, who are interested in losing weight (except those scheduled for bariatric surgery). A Case Manager will:

  • Work together to develop a weight management plan of care
  • Make sure the plan of care is individualized to meet your needs
  • Help reach your weight loss goals

 

 

Molina My Health – Nutrition Consult Program

Molina offers a Nutrition Consultation Program to support your nutrition health needs. A Registered Dietitian will work closely with you to:

  • Understand your health concerns
  • Work together to develop an individualized plan of care
  • Provide you with tools and aids to better self-manage your health condition

 

Nutrition consultations may address but are not limited to:

  • unintentional/unexpected weight loss, needing help with high calorie/high protein diet
  • poorly controlled insulin-dependent diabetes; gestational diabetes; carbohydrate counting
  • low sodium/fluid restrictions for heart failure
  • severe food allergies
  • kidney disease (except those members on dialysis)
  • Celiac or Crohn’s Disease; Irritable Bowel Syndrome
  • members on special diets due to certain medications
  • pediatric obesity (age 2 and older); adult obesity for those members with health issues such as diabetes, high blood pressure, coronary artery disease; candidates for bariatric surgery are excluded

 

 

Molina My Health – Living with Asthma

For child and adult members, age 2 and older, who have a diagnosis of asthma. A case manager will:

  • Help you understand and identify your symptoms
  • Help you avoid triggers that increase symptoms
  • Help you understand your prescribed asthma medications

 

 

Molina My Health – Living with Diabetes

For adult members aged 18 and older who have a diagnosis of diabetes. Members will work with their case manager and learn about:

  • Healthy eating
  • The importance of checking your blood sugar and knowing your hemoglobin A1c level
  • The value of daily activity
  • Following the diabetes self-management plan outlined by your doctor

 

 

Molina My Health – Living with Heart Failure

For adult members aged 18 and older who have a diagnosis of heart failure. Members will learn from their case manager about:

  • Heart-healthy eating
  • Monitoring your weight
  • Reporting symptom changes to the doctor
  • The importance of daily activity and taking medications as prescribed

 

 

Molina My Health – Living with Depression

For adult members aged 18 and older who either have a diagnosis of depression or may be having symptoms of depression. The program is designed to:

  • Promote early identification of symptoms
  • Provide education, guidance, and support
  • Teach life coping skills
  • Share available services, treatment options, and community support

 

Molina My Health – Living with COPD

For adult members aged 35 and older who have a diagnosis of COPD. Members will learn from their case manager about:

  • Breathing exercises
  • Planning and pacing daily activities
  • Oxygen-related safety measures
  • The importance of taking medications as prescribed

 

 

Molina My Health – Living with Hypertension

For adult members aged 18 and older who have a diagnosis of high blood pressure. Members will learn from their case manager about

  • Heart-healthy eating
  • Monitoring blood pressure
  • The importance of daily activity
  • The importance of taking medications as directed

 

 

What do members of Health Management Programs receive?
You may receive:

 

  • A phone call from a Case Manager
  • Health education materials
  • Information about available resources at Molina or within the community

 

How do I enroll?
To be in the program, you must meet certain requirements. Members who meet the requirements are enrolled automatically. You will get a call from a nurse or case manager about working with your provider to get you the right care and advice.

Molina Healthcare uses the following information to identify members for these programs:

  • Claims
  • Pharmacy
  • Other health management programs

 

You can refer yourself to a program, or your provider may refer you. It's up to you if you want to be in a program. You can ask to be removed at any time.

 

Need more information?
Call our Health Management Department at (866) 891-2320 (TTY/TDD: 711). Our staff can let you know what programs you are currently enrolled in and answer your questions. You can also ask for a referral or ask to be removed from a program.