Complex Case Management

GCHP has a free program for all members who may need help in taking care of and coordinating care for illnesses such as diabetes, heart disease, high blood pressure or many hospital stays.

Case managers can work with members and their social support team, as well as their primary, specialty, and ancillary care providers to help them get the right care, at the right time, and the right place. This is done by helping members:

• Learn about and understand their health care needs, illness, and medications.
• Connect with behavioral health services.
• Identify gaps in care.
• Coordinate care.
• Navigate the health care system.
• Get needed medical equipment.
• Connect with resources for special health care needs.
• Connect with resources for caregivers.
• Access benefits and services.
• Connect with needed supportive and community resource and service programs.
• Set up transportation.

Members can get connected to the GCHP Complex Case Management (CCM) program by being referred by:

• Medical management programs.
• Discharge planners.
• Members or caregivers.

To talk to the GCHP Care Management Department, please call 1.805.437.5656, Monday through Friday, from 8 a.m. to 5 p.m. (except holidays). If you use a TTY, call 711. You can also email CareManagement@goldchp.org. Please leave a callback number and the member ID number for a quick response.

The GCHP CCM program is voluntary. To Opt-In or enroll, members will be assessed to determine if they meet program eligibility. If a member is not eligible for the CCM program, other Case Management programs may be available and offered.

Members can disenroll from the GCHP CCM or other case management programs at any time. They can do so by speaking directly with their case manager. They can also call Member Services at 1.888.301.1221, Monday through Friday, from 8 a.m. to 5 p.m. (except holidays). If you use a TTY, call 711.