Manage Your Condition | Healthy Blue North Carolina

Condition Care Is All About You

We’re here to help you learn more about your health, keeping you and your needs in mind at every step. Our Condition Care (CNDC) programs give you the opportunity to ask questions about your condition, get information about your benefits and connect you with local resources.

What Programs Are Available for North Carolina Medicaid Members?

We offer healthcare and support services for members with any of these conditions:

Asthma

Bipolar Disorder

Chronic Obstructive Pulmonary Disease (COPD)

Congestive Heart Failure (CHF)

Coronary Artery Disease (CAD)

Diabetes

HIV/AIDS

Hypertension (high blood pressure)

Depression

Depression in children and teens

Schizophrenia

Substance Use Disorder

How It Works

Our CNDC care managers are registered nurses. When you join one of our NDC 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 our health plan, if needed.
- Getting any medical equipment you may need.

Who Can Join?

Any Healthy Blue member with any of the health conditions listed can participate in a CNDC program. Our CNDC case manager can talk with you about your health history, health goals, and work with you to offer strategies and support so you can live well.

They can also offer educational materials and tools for weight management and tobacco cessation (how to stop using tobacco, like quitting smoking).

How To Join

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

When you call, we’ll:

Set you up with a CNDC care manager to get started.
Ask you some questions about your health.
Start working with you to create your plan.

You can also email us at Condition-Care-Self-Referral@healthybluenc.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 of the program at any time. To have us take you out of the program, please call us toll free at 888-830-4300 (TTY 711), Monday through Friday from 8:30 a.m. to 5:30 p.m. You may also call this number to leave a private message for your CNDC care manager 24 hours a day.

Condition Care 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 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 Healthy Blue by calling 888-830-4300 (TTY 711) toll free from 8:30 a.m. to 5:30 p.m. Eastern time, Monday through Friday, and:
- Get help on how to use the complaint process.
- Know how much time Healthy Blue 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).