Wellness coordination services involves the development, maintenance, and routine monitoring of the
individual’s wellness coordination plan and the medical services required to manage his/her health care
needs. Wellness coordination services extend beyond those services provided through routine
doctor/healthcare visits required under the Medicaid state plan and are specifically designed for
individuals requiring the assistance of an RN or LPN to properly coordinate their medical needs. We
provide services that include but are not limited to oversight and development of wellness coordination
plan and training of staff on individual’s health care needs, consultations with physicians,
specialists and other medical personnel, and annual physical assessments.
The three tiers of wellness coordination we provide are:
• Tier I: Healthcare needs require a face-to-face visit once a month with an RN or LPN and
consultations/reviews based on the individual’s current healthcare needs.
• Tier II: Healthcare needs
require a face-to-face visit twice a month with an RN or LPN and consultations/reviews based on the individual’s
current healthcare needs.
• Tier III: Healthcare needs require a face-to-face visit once a
week with an RN or LPN and consultations/reviews based on the individual’s current healthcare needs.
Wellness coordination is available under FSW and CIH waiver.