NC Health<em>Smart</em>

Disease and Case Management

Disease Management

An important goal of the State Health Plan is to help members with a chronic disease or disease risk factors better manage their condition. Through NC HealthSmart, the Plan offers eligible members* comprehensive educational resources and access to one-on-one nurse coaching and specialty care.

Services are available to help members* manage a chronic illness or address a sudden, catastrophic event or medical condition requiring multiple services and intensive management. Programs are available to members* with chronic health conditions, including:

  • Asthma
  • Chronic Obstructive Pulmonary Disease - includes chronic bronchitis and emphysema
  • Congestive Heart Failure
  • Coronary Artery Disease
  • Diabetes
  • Hypertension

Call a health coach toll-free at 800-817-7044 to discuss these and other conditions such as high cholesterol, obesity, migraines, and muscle and bone issues. See below for full list of conditions that are supported.

If you receive a phone call from a health coach, it may be because you would benefit from the services offered. The health coach is calling to offer you assistance with managing your health condition, to provide any needed information about your condition and related medications, and to assist you with questions you may want to ask your doctor at the next visit. The health coach contacting you is a highly trained and experienced nurse, registered dietitian or respiratory therapist.

If you wish to stop receiving telephone calls from a health coach, you can call 800-817-7044 toll free and request to be placed on a "Do Not Contact" list. You will still have the ability to contact a health coach directly to ask for help with any acute or chronic condition by calling 800-817-7044.

Case Management

Services are offered to members* with complex medical needs such as cancer or severe accident injuries. The program focuses on early identification of a member's need for assistance with multiple hospitalizations or a sudden catastrophic event. If you or a family member need case management support, contact an NC HealthSmart health coach at 800-817-7044.

  • Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) Care Services
    Specialty Case Managers are available to assist members with Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD). To speak with a CKD/ESRD case manager, call 800-817-7044.

Nurse Line

A nurse line is available 24/7 for questions concerning you or your family. Call the nurse line toll-free at 800-817-7044 anytime.

Members eligible for NC HealthSmart services are members whose primary health coverage is through the State Health Plan. Federal law prohibits the Plan from using your personal health information to discriminate against you in any way or from giving this information to your employing agency/school or other unauthorized third party, unless required by law.