Diabetes
Member Interventions
Our goal is to teach members how to effectively manage their condition through ongoing education and targeted interventions. This approach helps members to:
- Understand their diabetes and how they can adjust their lifestyle to improve outcomes, using our Diabetes toolkit.
- Acquire tools that help them track their numbers, including annual diabetes calendars and self-management checklists
- Receive assistance and reminder calls, including help coordinating transportation to appointments
- Seek referrals to Behavioral Health providers
Care Management
- We make reports available to providers to help identify patient gaps. For example, providers can receive reports with patients’ HbA1c levels and lists of patients overdue for diabetic eye exams.
- Any time a member is referred to one of our care management programs, we will notify you by letter or telephone and work to coordinate your patient’s care.
Refer Patient to Care Management
Call us at 866-853-5241 or complete the appropriate form to refer a patient to a Care Management program. Our care management staff will evaluate the member and enroll him/her in the most appropriate program based on condition, severity of illness and individual needs.
Clinical Guidelines
BMC HealthNet Plan adopts, endorses and implements these evidence-based guidelines from national sources, professional organizations, or developed by regional collaborative groups. Guidelines serve as a means of establishing standards among medical and behavioral health providers to improve health outcomes. They are not intended to replace clinical judgment.
- Standards of Medical Care in Diabetes (American Diabetes Association)