MARTIN LUTHER KING JR COMMUNITY

Mlkcmf's ongoing enhanced care management program is a statewide medicaid benefit. The goal of this program is to provide a whole person approach to care that addresses both clinical and non-clinical needs of high-need medicaid beneficiaries. Beneficiaries have a single lead care manager who coordinates care and services among the physical, behavioral, dental, developmental, and social services delivery sytems, making it easier for them to get the right care at the right time.mlkcmf's provides diabetes management to patients including education and classes available to the community. Care coordinators assist patients with ongoing enrollment in health coverage via education and navigation services, facilitating post discharge clinic visits to help reduce hosptial readmissions, and assist with the evaluation of social determinants of health in the patient population to connect patients with resources to address their needs.