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Our Medical Management Department works with you and your providers to help you access high-quality, cost-effective medical and behavioral health services that meet established care guidelines and health benefits plan designs.

• Case Management: BCBSD's team of licensed registered nurse managers work with you to address your health concerns and help you find the resources you need. For more information, please contact us.

• Prenatal Case Management (Baby Benefits): This educational program for expectant parents provides maternity risk assessments and health education. Contact us to obtain more information or visit My Nurse Online, an online resource for members who participate in this program.

• Neonatal Case Management:This program, available to members with certain benefits plans, provides care coordination services and educational resources for members with infants who are admitted to an intensive/special care nursery after birth. Contact us to obtain more information.

• Utilization Management: Using nationally recognized criteria, BCBSD's Utilization Management team works with you and your health care providers to ensure that you receive medically appropriate, cost-effective care. For more information, please contact us.

• Behavioral Health Care: Members struggling with emotional distress, psychiatric disorders or substance abuse can turn to the resources offered through our Behavioral Health Care Department. In support of our members' mental health, BCBSD maintains a robust network of licensed, qualified clinical professionals. For more information, please contact us.

• Substance Abuse Treatment: If you have substance abuse issues, we’ll help you obtain in-patient and intensive out-patient services designed to help you conquer and recover from you addictions. For more information, please contact us.

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