Condition Care

Our Condition Care (CNDC) program is designed to support healthcare professionals in managing members receiving benefits with chronic conditions.

Attention Kansas Providers: Availity tools and services will be available for use beginning December 15th, 2024. Please contact our Provider Services team for more information.

Close. Attention Kansas Providers alert. Button

Our mission

The mission of the CNDC program is to improve the health and quality of life for the members served by encouraging member self-care efforts, coordinating healthcare education, and providing interventions along the continuum of care.

CNDC services

  • A holistic, member-centric approach to condition care focusing on the needs of the member through telephonic and community-based resources
  • Motivational interviewing techniques used in conjunction with member self-empowerment 
  • The ability to manage more than one condition to meet the changing healthcare needs of our member population 
  • Weight management and smoking cessation education

Eligibility

Members diagnosed with one or more of the conditions listed in this section are eligible for CNDC services:

  • Asthma
  • Bipolar disorder
  • Coronary artery disease
  • Congestive heart failure
  • Chronic obstructive pulmonary disease
  • Diabetes
  • HIV/AIDS
  • Hypertension
  • Major depressive disorder — adults
  • Major depressive disorder — children/adolescents
  • Schizophrenia
  • Substance use disorder

 

 

Quality of care

If you have patients with one or more of the conditions listed, who could benefit from additional education or care coordination, we encourage you to refer them to CNDC. 

 

 

Member referrals

Fill out our CNDC Referral Form (coming soon) and email the completed form to:  Condition-Care-Provider-Referrals@healthybluekansas.com.

Program features

  • Proactive population identification processes
  • Program content is supported by evidence-based national practice guidelines
  • Collaborative practice models to include physicians and support service providers in treatment planning for members
  • Continuous patient self-management education, including primary prevention, coaching related to healthy behavior modification programs and compliance or monitoring, and care coordination for high-risk members
  • Ongoing communication with primary and ancillary providers regarding patient status
  • NCQA accreditation for nine of our programs, which incorporate outreach, education, care coordination, and follow-up to improve treatment compliance and enhance self-care

 

 

CNDC programs are designed to:

  • Address gaps in care
  • Improve the members’ understanding of the condition process
  • Improve quality of life for our members
  • Support collaboration to develop with member-centered goals and interventions
  • Support relationships between the member and network providers
  • Increase network practitioner and provider awareness of CNDC programs
  • Reduce acute episodes requiring emergent or inpatient care
  • Identify social drivers of health and address them by referring members to appropriate community resources

Collaborative treatment plans

CNDC invites your input for patient treatment plans. We provide you with CNDC information and the most up-to-date Clinical Practice Guidelines (CPGs) to assist in creating an individual plan of care for your patient. CPGs are available in Availity (login is required). 

 

Log in to Availity 

 

 

Receive feedback on your patients between appointments

You can access Patient360 to obtain feedback on your patients regarding their care plans and condition management while enrolled in CNDC.  

Contact CNDC

Our CNDC case managers are available 8:30 a.m. to 5:30 p.m. Confidential voicemail is available 24 hours a day. 

 

Call 888-830-4300

 

Email Condition-Care-Provider-Referrals@healthybluekansas.com

Disclaimer

Our CNDC programs do not advertise, market, or promote specific products or services to members or providers. We do not have financial ownership arrangements with anyone who advertises, markets, or provides the goods and services we offer. 

 

The Clinical Practice Guidelines (CPGs) for the chronic conditions outlined on this page are available on Availity. CPGs can be requested at any time. 

Related information

CNDC - Coming soon

 

 

Related pages

Forms 

 

Care coordination 

 

Policies, guidelines, and manuals 

 

Patient360 

Interested in becoming a provider in the Healthy Blue network?

We look forward to working with you to provide quality service for our members.

 

Join our network