Case Management

MedStar Family Choice has a highly qualified team of nurses and social workers who are available to adult and pediatric members who have serious medical conditions or complex or special needs. Our nurses and social workers provide support and guidance to those members who need or would like extra assistance to manage their health. Our nurses and social workers can also assist with care coordination.

Below are a few examples of medical conditions or health care needs where we may be of help to you:

Complex Case Management Services

• One or more hospital stays in 6 months
• Two or more Emergency Department visits in 6 months
• Stroke
• Cancer/tumors
• Sickle cell disease with severe crisis
• Acute trauma with complex care coordination needs
• Multiple chronic health conditions
• Complex psycho-social or behavioral needs
• Transplants
• Special healthcare needs

Comprehensive Case Management Services

• High risk pregnancy
• Diabetes
• Asthma
• COPD
• Hypertension
• Cardiovascular disease
• HIV
• Substance use disorder
• Social issues
• Mental health

You do not have to enroll in these services. You may be enrolled if we see that you have certain conditions or medical needs. Membership in either Complex Case Management or Comprehensive Case Management is voluntary. A nurse or social worker will reach out to you by phone to explain your benefits and these services to you.

If you would like to ask about one of these services or if you are already in one of these services and you would like to stop participating, please contact us at 410-933-2200 or 800-905-1722, and select option 2. We are available Monday through Friday, 8:30 a.m. to 5 p.m. Any voice messages received after hours will be returned during the next business day.