Heritage Case Management provides case management services to adult disabled and elderly individuals in need of long term care. Long term care is the system of healthcare providers who assist people when they are unable to care for themselves because of prolonged illness, disability or frailty who are not expected to make a full recovery. The help required can be as simple as assistance with housekeeping, dressing or bathing or as specialized as the need for skilled nursing or inpatient placement in a facility. A case manager can assist with facilitating access to this system which encompasses multiple provider disciplines with many choices. Case management integrates all care of the client and guides the course of treatment to ensure all involved providers are working together and meeting the consumers expressed desires. Utilizing case management services maximizes efficiencies regardless of the funding source. Case management can be paid for privately, by certain private insurance policies, through medical trust funding, employee assistance programs or Medicaid for eligible individuals.

The HCBC-ECI is enrolled to provide case management for clients participating in the State of New Hampshire's Home and Community Based Care, Elderly Chronically Ill Program (HCBC-ECI). HCBC-ECI is a waiver program under MEDICAID.  Medicaid is a state and federal funded program with specific medical and financial eligibility requirements. The HCBC-ECI program provides services to eligible individuals who live in their home and in mid-level care facilities. To be eligible an individual needs to be 18 years of age or older; be determined financially eligible for New Hampshire Medicaid through a State District Office and be found eligible for the HCBC-ECI program by the Division of Elderly and Adult Services (DEAS). Please contact us for information and assistance with this application process.

What is the role of a Case Manager?

Case managers have many functions and their role is based upon the needs of the individuals served. Case managers can evaluate an individual’s safety and identify what services are needed to allow them to remain at home or transition to a facility. A case manager can secure necessary medical supplies and equipment, obtain appropriate medical care and services, obtain assistance with activities of daily living, negotiate insurance coverage, provide information about and assist with application to government health insurance coverage such as Medicare or Medicaid when appropriate. Case mangers facilitate the provision of care in a cost effective manner which prevents duplicative or unnecessary utilization of services resulting in significant savings. Case managers advocate for the expressed desire of the client resulting in health care consumer satisfaction.

Do I or someone I know need a Case Manager??

If you or someone you know is no longer able to adequately manage daily activities due to aging, a health crisis or chronic medical condition you may need case management. A case manager can relieve anxiety and concern by identifying care needs, identifying options and available providers. A case manager can assist clients with managing available resources and accessing alternative funding when resources are depleted. Understanding the available options and their costs helps individuals to make the best decisions in regard to their care and expenditure of funds.