Care Management

You could benefit from working with a Care Manager if you have:

  • Lots of medical and pharmacy claims
  • If you have a Utilization Management referral from your customer service representative
  • You want to have a self-referral for some assistance of help in coordinating your care
  • If you have a provider referral from your PCP, Specialist or your plan’s Medical Director
  • If you have been in the hospital recently
  • If you need a community agency referral for additional assistance

West Virginia Family Health (WVFH) may reach out to your PCP if we cannot reach you at the phone number we have on file.  We will ask your PCP to discuss care management services with you at your next visit.  Care Managers work with you to develop a treatment plan and discuss any problems with getting your care.

We want you to have a happy, healthy life.  WVFH offers the following care management programs to help you stay well and manage any conditions you may have:

View and download the WVFH Clinical Practice and Preventive Health Guidelines (PDF)

For more information on our wellness programs, please call our Care Management team at 855-412-8004, Monday to Friday, 8:30 a.m. to 4:30 p.m.

PDF files require the Adobe Acrobat Reader installed on your system. Most computers have this program installed. If it is not installed on your computer, you can download it for free from Adobe.