DHCS is excited to introduce MedExpert, our new partner who will be providing
services to AMCCI members. On December 22, MedExpert began providing case
management services and started making calls to AMCCI members.
AMCCI Member program overview
The Alaska Medicaid Coordinated Care Initiative (AMCCI) is an exciting new program offered by the Division of Health Care Services (DHCS). It provides one-on-one case management services and helps members to obtain health care in the appropriate setting. The AMCCI will assist our members to navigate the health care system and appropriately use the benefits of the Alaska Medicaid program.
Do you have trouble getting to your appointments or finding health care after normal business hours? Is it difficult to find care for your condition or to understand your diagnosis? Can you get your medications timely or do you sometimes miss taking some of your medications? Do you understand why you need your medication? Do you need help finding a doctor?
The AMCCI is here to help!
DHCS is actively seeking member volunteers to participate in the AMCCI. The aim of the AMCCI is to provide personalized one-on-one attention and case management services to members. Case managers will assist members to coordinate their care in collaboration with their medical providers. Your assigned case manager will become your advocate to assist you to meet your health care needs. Our goal is to help members feel better and be healthier. Members will receive:
- An assigned one-on-one case manager
- An evaluation of your health care needs
- A plan to obtain the health care and support you need
- Advocacy from your case manager
- Primary care providers
- Referrals to providers & specialists, as needed
- Assistance in getting care in the appropriate setting
- Assistance getting transportation
- Assistance getting housing
- Education about your medications & health care conditions
- Additional support to obtain and access health care needed
The initial participation in the program is 12 months, although members will have the opportunity to continue with the program after 12 months if they chose to do so.
The Division of Health Care Services (DHCS) has identified Alaska Medicaid members who used a higher number of medical services, including emergency room visits, when compared to other members. Normally, this use requires further review by the Care Management Program (CMP) to determine if the services received in the emergency room were medically necessary and whether the service was appropriate to the hospital emergency room setting. Sometimes services obtained in a hospital emergency room, for conditions that are not emergencies, can be provided at a primary care provider’s office.
If the member’s use does not comply with Alaska Medicaid program rules, they may be restricted to one medical provider and one pharmacy as allowed under Medicaid regulation 7 AAC 105.600. For more information please see the Care Management Program brochure.
However, these members may instead choose to voluntarily participate in this new program, the Alaska Medicaid Coordinated Care Initiative (AMCCI).