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Integrated Care

PA Health & Wellness Integrated Care Teams are available to assist participants with medically or socially complex needs that may benefit from increased coordination of services to optimize health and prevent disease. Our Service Coordinator/Care Manager 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 Service Coordinator/Care Manager is available from 8 a.m. - 5 p.m. (Eastern) to assist with coordination of the participant’s healthcare needs.

The following conditions and/or diagnoses are examples of appropriate referrals to the Service Coordinator/Care Manager 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
  • HIV/AIDS
  • High Risk Pregnancy