Manage your condition in DC

Wellpoint District of Columbia, Inc. care managers are here to help you live well.

Condition Care is all about you

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

What programs are available for DC Medicaid enrollees?

We offer healthcare and support services for enrollees 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

Making cancer 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 your care and make sure you receive the care you need at no extra cost.

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

Get back time to focus on your well-being with extra support. To 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, 8:00 a.m. to 9:00 p.m., and Saturday, 9:00 a.m. to 7:30 p.m.

You do not have to participate in the program, but it’s encouraged. Choosing not to take part in the program will not change your benefits.

How Condition Care works

Our CNDC case managers are registered nurses. When you join one of our CNDC programs, a case 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?

Wellpoint DC enrollees with any of the health conditions listed above can participate in a CNDC program. Our CNDC case manager will talk with you about your health history, health goals, and work with you to find solutions so you can live well.

Case 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.

When you call, we’ll:

Set you up with a CNDC case 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 Condition-Care-Self-Referral@wellpoint.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 (be removed) of the program at any time. To opt out, please call us at 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m. local time, Monday through Friday. You may also call this number to leave a private message for your CNDC case 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 case 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 Wellpoint DC by calling 888-830-4300 (TTY 711) from 8:30 a.m. to 5:30 p.m., Monday through Friday, and:
- Get help on how to use the complaint process.
- Know how much time Wellpoint DC 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 case 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 enrollees. 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 Enrollee Services.