Manage Your Condition | NY Medicaid

NY Anthem’s Condition Care is all about you

Our Condition Care (CNDC) programs allow you to ask questions about your condition, get benefit information, and connect with local resources.

What programs are available for members?

We offer healthcare and support services for members with many health conditions.

Asthma is a long-term condition that makes it hard to get air into the lungs. Asthma may cause wheezing, tightness in the chest, shortness of breath and coughing.

We can give you an asthma action plan for you and your health care provider to complete. This will help monitor your condition, stay away from your triggers and manage your medication (meds).

Learn more:

Bipolar disorder is a brain disorder that can cause unusual changes in mood, energy, activity level, and make it hard to carry out day-to-day tasks.

It can feel uneasy to learn you’re living with bipolar disorder, so we’re here to help. With proper treatment and support, you can enjoy a healthy, happy and productive life.

Learn more:

Biopolar Disorder

Symptoms

When to Call a Doctor

Making care easier when you need it most

Managing all the pieces of your care when you’re dealing with ongoing health issues can feel overwhelming. Our Cancer Care Navigator program can help. This program provides a team of nurses and other healthcare providers to help support your care if you have been diagnosed with cancer. We will work with your doctors to simplify the ins and outs of cancer care and make sure you receive the care you need at no extra cost.

Plus, the Cancer Care Navigator will connect you to helpful resources. Some of those include a dietitian, help with managing medications, customized care plans, goal setting, and support after hours.

Get back time to focus on your well-being with extra support. Learn more about how the program can help you: Call the Cancer Care Navigator team toll free at 833-649-0669 (TTY 711) Monday through Friday, 8 a.m. to 9 p.m., and Saturday, 9 a.m. to 7:30 p.m. ET.

Taking part in the program is optional but encouraged. Choosing not to take part in the program does not impact your benefits.

COPD is a condition in which damage to the lungs has caused the airways to change shape and feel partly blocked. This makes it hard to breathe.

We can help you learn to breathe easier to possibly improve your quality of life. We’ll help you learn how to use inhalers, spacers, nebulizers and other devices, along with other skills for living with COPD.

Learn more:

COPD

COPD: Learning to Breathe Easier

Your heart is only the size of a fist, but it’s one of the most important muscles in your body. Arteries throughout the body supply blood to your heart. When those arteries are blocked, and blood flow to the heart is reduced, it causes CAD.

We can help you with tips and tools, like making good food choices and following up with your doctor to keep your CAD in check.

Learn more:

Coronary Artery Disease (CAD)

Symptoms

Health tools

When to Call a Doctor

If you’re living with diabetes, you’re not alone. Diabetes happens when your body’s blood sugar (the amount of sugar in the blood) levels are usually higher than normal. It means there’s a problem making enough of a hormone called insulin, or your body isn’t using insulin like it should.

We can help you lower your risk of complications (problems or issues) and make your quality of life better.

Learn more:

Type 1 Diabetes

Type 2 Diabetes

Taking Care of Your Feet

Healthy Eating Tips

Human immunodeficiency virus (HIV) is a virus that attacks the immune system (the body’s natural defense against illness). It makes it hard for the body to fight infection and disease. If HIV isn’t treated, it can lead to AIDS. AIDS stands for acquired immunodeficiency syndrome. It is the last stage of the HIV virus.

We’re here to help you with simple steps for living with HIV/AIDS. Taking your medications the right way, eating healthy, staying active and following your treatment plan can make a difference.

Learn more:

HIV prevention — PrEP

Pre-exposure prophylaxis (PrEP) is a cornerstone of HIV prevention and is strongly endorsed by New York state (NYS). However, it is underutilized, particularly by communities disproportionately affected by HIV. This guideline provides NYS clinicians with recommendations on promoting sexual health and the use of PrEP.

View PrEP Guidelines

Primary HIV care

The purpose of this guideline is to provide NYS clinicians with evidence-based clinical recommendations for comprehensive primary care to patients with HIV, whether care is provided in an HIV specialty or primary care setting.

Primary Care HIV Guidelines

Perinatal HIV care

The purpose of these guidelines is to provide recommendations for perinatal and postpartum treatment for women with HIV.

Perinatal HIV Guidelines

Hypertension is also called high blood pressure. Blood pressure is the amount of force it takes for your heart to pump blood through your body. When your blood pressure is high, it can lead to other health problems.

We can help you make short- and long-term goals that will help you manage your blood pressure.

Learn more:

High Blood Pressure

Symptoms

What Increases Your Risk

Everyone feels blue or sad some of the time, but these feelings don’t last very long. When a person has major depressive disorder (MDD or clinical depression), these feelings don’t go away easily. They can get in the way of your everyday life.

Depression is common and a real illness. The important thing to know is that it can be treated. We’re here to help you find resources in your area or help you talk with your family or caregiver about MDD.

Learn more:

Depression

Symptoms of Depression

Schizophrenia is a behavioral health disorder that affects a person’s thoughts, feelings, emotions, decisions and actions. Some even have a hard time with focusing and memory loss. It can get in the way of daily life.

We’re here to help you learn how to manage schizophrenia with medication, treatment and support.

Learn more:

Schizophrenia

Symptoms

Schizophrenia: When Hospital Care is Needed

When to Call a Doctor

Substance use disorder is a disease that leads to the use of drugs, alcohol, or other substances in a way that causes problems for your health or in your life.

We can help those with substance use disorder work together with their health care provider(s) to talk about treatment options (choices of ways to get better) and finding local community programs and resources.

Learn more:

Substance Use Disorder

Treatment

For Family and Friends

When to Call a Doctor

How it works

Our CNDC care managers are registered nurses. When you join one of our CNDC programs, a care manager will:

Help you create health goals and make a plan to reach them.

Coach you and support you through one-on-one phone calls.

Track your progress.

Give you information about local support and caregivers.

Answer questions about your condition and/or treatment plan (ways to help with health issues).

Send you materials to learn about your condition and overall health and wellness.

Coordinate your care with your healthcare providers, like helping you with:

Making appointments.
Getting to healthcare provider visits.
Referring you to specialists in your health plan, if needed.
Getting any medical equipment you may need.

Who can join?

New York Anthem Blue Cross and Blue Shield HP members with any of the health conditions listed above can participate in a CNDC program. Our CNDC care manager will talk with you about your health history, health goals, and work with you to find solutions so you can live well.

Care managers also offer tools for weight management and tobacco cessation (how to stop using tobacco such as quitting smoking).

How to join

Call us at 888-830-4300 (TTY 711), Monday through Friday from 8:30 a.m. to 5:30 p.m. Eastern time.

When you call, we’ll:

Set you up with a CNDC care manager to get started.

Ask you some questions about your or your child’s health.

Start working together to create your or your child’s plan.

You can also email us at dmself-referral@anthem.com.

Please be aware that emails sent over the internet are usually safe, but there is some risk third parties may access (or get) these emails without you knowing. By sending your information in an email, you acknowledge (or understand) third parties may access these emails without you knowing.

You can choose to opt out (we’ll take you out of the program) of the program at any time. Please call us toll free at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. local time Monday through Friday to opt out. You may also call this number to leave a private message for your CNDC care manager 24 hours a day.

Your rights and responsibilities

When you join a Condition Care program, you have certain rights and responsibilities. You have the right to:

Get details about us, such as:

Programs and services we offer.
Our staff and their qualifications (skills or education).
Any contractual relationships (deals we have with other companies).

Opt out of CNDC services.

Know which CNDC care manager is handling your CNDC services and how to ask for a change.

Get support from us to make healthcare choices with your healthcare providers.

Ask about all CNDC-related treatment options (choices of ways to get better) mentioned in clinical guidelines (even if a treatment is not part of your health plan) and talk about options with treating healthcare providers.

Have personal data and medical information kept private.

Know who has access to your information and how we make sure your information stays secure, private, and confidential.

Receive polite, respectful treatment from our staff.

Get information that is clear and easy to understand.

File complaints to Anthem by calling 888-830-4300 (TTY 711) toll free from 8:30 a.m. to 5:30 p.m. local time Monday through Friday and:

Get help on how to use the complaint process.
Know how much time Anthem has to respond to and resolve issues of quality and complaints.
Give us feedback about the Condition Care program.

You also have a responsibility to:

Follow the care plan that you and your CNDC care manager agree on.

Give us information needed to carry out our services.

Tell us and your healthcare providers if you choose to opt out (leave the program).

Condition Care does not market products or services from outside companies to our members. CNDC does not own or profit from outside companies on the goods and services we offer.

For a written version of your CNDC rights and responsibilities or information on this website, please print this page or call Member Services.