Disease Management
The Health Plan’s Disease Management and Health Promotion Programs are multi-disciplinary and continuum-based systems developed to proactively identify populations with, or at risk for, chronic medical conditions. Populations currently being managed include members with diabetes, chronic heart failure, and chronic obstructive pulmonary disease. The Health Plan’s pregnant members are also monitored with the intent to identify those at high risk for premature delivery.
Disease Management Program Descriptions - COPD Guidelines
- Diabetes Guidelines
- Heart Failure Guidelines
The guidelines above are updated every two years or with changes and mailed to providers. Please call 1.800.624.6961, ext. 7659 or 740.695.7659 if you require another set of guidelines and we will mail them out to you. If you have additional questions about the Disease Management Guidelines, you can call 740.699.6110.
Advance Directives
The following resources are here to assist you in helping your patients with advance care planning and discussing end of life issues.
- Respecting Choices

Website aimed at professional healthcare providers and designed to help them implment effective, patient-centered systems within their community or organization. - National Hospice and Pallative Care Organization

Organization that advocates for the terminally ill and their families. It also develops public and professional educational programs and materials to enhance understanding and availability of hospice and pallative care. - Caring Connections

Website provides resources, as well as free advance directives and instructions for each state, for you and your patient. - Advance Directive Handout
Patient education handout explaining the importance of Advance Directives. - Advance Directive Poster
Advance Directive 11x14 poster to hang in your office to begin the conversation of the importance of Advance Directives. - Advance Directives Flow Chart
This algorithm can be used to record patients education on advance directives and advance care planning. - West Virginia Center for End-of-Life Care
Ensuring West Virginians have their wishes respected and pain controlled at the end of life.