Health Management

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Molina Healthcare provides several Disease Management and Health Management programs designed to assist members and their families with better understanding how to self-manage their chronic health conditions, adopt healthy lifestyle behaviors and follow their providers treatment plan. Members receive telephonic outreach from clinical case managers or health educators who complete a condition-specific assessment, develop an individualized care plan and provide health education in accordance with clinical guidelines. Health education materials are sent to members to provide additional support and information. The programs include:


Breathe with easeSM Asthma Program

For child and adult members age 2 and older who have a confirmed diagnosis of asthma. Members and parents/guardians will learn about symptom identification and control, trigger avoidance and the importance of following the asthma action plan outlined by their provider. If you would like more information about the program or how to refer a member to the program please call (866) 891-2320, Option 2.


Healthy Living with DiabetesSM

For adult members age 18 and older who have a confirmed diagnosis of diabetes (non-gestational and/or non-steroid-induced). Members will learn about limiting carbohydrates in their diet, monitoring their own blood sugar, knowing their HgA1c level, the importance of daily activity and following the diabetes management plan outlined by their provider. If you would like more information about the program or how to refer a member to the program please call (866) 891-2320, Option 2.


Heart Healthy LivingSM

For adult members age 18 and older who have a confirmed diagnosis of hypertension or heart failure. Members will learn about heart-healthy eating, monitoring their weight and blood pressure, the importance of daily activity and taking their medications as directed by their provider. If you would like more information about the program or how to refer a member to the program please call (866) 891-2320, Option 2.


Building Brighter Days Depression Program

For adult members age 18 and older who either have a confirmed diagnosis of depression or may be struggling with symptoms of depression. The program is designed to provide better overall quality of life and clinical outcomes by administering a standardized depression assessment tool for early identification of symptoms and by providing education, guidance and support, with development of goals focused on self-advocacy for the member and their support systems. If you would like more information about the program or how to refer a member to the program please call (866) 891-2320, Option 2.


Healthy Living with COPD

For adult members age 35 and older who have a confirmed diagnosis of COPD. Members will learn about breathing exercises, planning and pacing daily activities, oxygen-related safety measures and the importance of taking their medications as directed by their provider. If you would like more information about the program or how to refer a member to the program please call (866) 891-2320, Option 2.


Smoking Cessation Program

Molina Healthcare offers a telephonic smoking cessation program to help your patients, age 18 and older, quit at no cost. A specially trained Health Educator will work closely with your patients to develop a smoking cessation plan of care that is individualized to meet your patients needs and support them through the quit process. If you would like to refer a Molina member or would like more information about the program, please call (866) 472-9483.


Weight Management Program

Molina Healthcare offers a Weight Management Program to support the weight management and health nutrition needs of your adult patients, age 18 and older (excluding those members scheduled for bariatric surgery). A specially trained Health Educator works closely with your patients to develop a weight management plan of care that is individualized to meet your patients needs and assist them in achieving their weight loss goals. If you would like to refer a Molina member or would like more information about the program please call (866) 472-9483.


Diabetes Prevention Program

MHC has teamed up with Yes Health to bring our members the Diabetes Prevention Program (DPP). The Yes Health DPP uses a mobile app and the program is recognized by the Centers for Disease Control and Prevention (CDC). It is a lifestyle change program developed to prevent type 2 diabetes and is designed for members who have prediabetes or are at risk for type 2 diabetes. This program is not for members who already have diabetes. There are weekly core sessions followed by monthly core maintenance sessions in the first year. Year two maintenance sessions are also available to eligible members. Trained coaches lead the program to focus on healthy eating, stress reduction, and physical activity to create long-term changes and lasting results. Providers may refer by directing members to the program website: https://www.yeshealth.com/molina.


Nutrition Consult Program

Molina Healthcare offers a Nutrition Consultation Program to support the nutritional and educational needs of your patients. A Registered Dietitian will work closely with your patients and their guardians/caregivers to assess their nutritional and educational needs and develop an appropriate nutrition plan of care that is individualized to meet the members needs and provides members with more of the tools and resources they need to enhance their ability to self-manage their health condition(s). Nutrition consultation referrals may include, 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,
  • renal disease (excluding those members on dialysis or any members that require ongoing lab monitoring with treatment adjustments),
  • Celiac or Crohn’s Disease; Irritable Bowel Syndrome,
  • members not maintaining therapeutic levels while taking a blood thinner such as coumadin,
  • members needing a more complex level of nutrition education,
  • pediatric obesity (age 2 and older); adult obesity for those members with a co-morbid health condition such as diabetes, hypertension, CAD; candidates for bariatric surgery are excluded
If you would like more information about the program or how to refer a member to the program please call (866) 891-2320, Option 2.

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