A model for case management of high cost Medicaid users.

The material presented reveals a unique solution to meeting the health care needs of a certain population. The State of Maryland through the Maryland Medicaid High Cost User Initiative uses nursing case management to decrease costs while providing quality care. The Center for Health Program Development and Management (CHPDM) manages the program and will be providing "enhanced" case management services to the identified high-cost users under the age of 65.