As a result of the unique needs of the patient population that the Monroe Plan serves and the Plan’s commitment to supporting health care professionals who care for low-income families, the Monroe Plan has created an organizational structure that includes:

Clinical Services

Provides support to our members and providers in the management of complex medical, social or behavioral health needs in order to increase member independence and self advocacy. Our team provides support in the appropriate utilization of clinical and community services, collaborates with providers, and works to reduce barriers to care.

Community Engagement

The Monroe Plan’s commitment to working with community organizations that share the Plan’s commitment to the poor has led the Plan to dedicate Board and staff resources to work creatively with community partners.

Customer Service

Customer Service is dedicated to answering provider and patient questions and is the main pipeline for patients to access services such as case management, transportation to medical appointments, and linkages to community resources and outreach.

Finance

Monroe Plan for Medical Care has a full risk capitation agreement with Excellus BlueCross BlueShield for all Safety Net products and will manage approximately $250 million in annual premium revenues across 14 counties in 2007.

Provider Relations

In support of providers who serve Blue Choice Option, Child Health Plus, and Family Health Plus patients, the Plan works to link providers with key Monroe Plan staff to help with complicated patients, resolve issues before they become problems, and to help educate provider office staff on policies and procedures.