Admission precertification is no longer required for routine hospital admissions,
which includes hospitalization, surgery and diagnostic testing performed at in-network
facilities. However, if services are performed at an out-of-network facility or
outside of Arkansas, it is your responsibility to notify the utilization management
company by calling the pre-certification number on your ID card.
Case management is a personalized, multidisciplinary process that aims to:
The focal point of case management in all of its roles is to empower patients, giving
them and their families access to a greater understanding of their disability or
disease, a larger voice in the delivery of their care, and more personalized attention
to their needs. Case managers enable patients and their families to make informed
decisions and help patients deal with the complexities of the health-care system.
More Information on Case Management:
Program description and case-manager locator.
Special Delivery is a program that provides education and support services regarding
health-plan benefits to expectant mothers with normal or high-risk pregnancies.
This program has been designed with input from top obstetricians to educate pregnant
women regarding their risk factors. As an enrollee in the program, benefits covered
by the health plan include:
More Information on Special Delivery:
Program description, resource list and enrollment information.
Arkansas Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association and is licensed to offer health plans in all 75 counties of Arkansas.
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