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The Gold Choice
physician case management program (PCMP) was established in 1996
by the SUNYAB Department of Family Medicine in collaboration with
the Erie County Departments of Social Services and Mental Health
as a model program to integrate the healthcare needs of Medicaid
recipients with Behavioral Healthcare concerns. Gold Choice also
receives annual funding from the Office of Mental Health and Office
of Alcohol and Substance Abuse Services.
One key feature of the Gold Choice program is that all enrollees
must currently be in treatment with an assigned counselor within
a behavioral health agency. The average enrollment is approximately
4975 Erie County Medicaid recipients per month. Gold Choice has
a Primary Care Provider network of over 60 sites throughout Erie
County that includes Kaleida Health, Lifetime Health, UB Family
Medicine, and the Catholic Health System.
The mission of the Gold Choice is to work in partnership with the
participating primary care providers and the associated behavioral
health agencies to continually improve the quality of care and service
delivered to Gold Choice members. The goal of the program is to
encourage the delivery of optimal services at the appropriate time
and in the most effective manner.
Strategic Objectives:
- To facilitate
patient empowerment by actively encouraging their self-management.
- To support
the continued development of proactive provider practices.
- To improve
evidence-based interventions and performance measures over time.
- To expand
collaboration and coordination with all community resources to
meet the complex needs of the mentally ill/substance abuse enrollees.
Telephonic
Case Management and Chronic Disease Management
The purpose of the Gold Choice Case Management Program is to coordinate
and integrate access to primary and specialty care for the member
and to link recipients with other needed medical and other support
services available in the community.
In addition to service coordination and linkage, the case management
staff also provides health education that teaches individuals about
the value of proper medical follow-up, immunizations, HIV related
information, sexually transmitted diseases, as well as preventative
health measures such as good nutrition and exercise. All such
services are coordinated with primary providers, specialty providers
and special care agencies.
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