Medica Administrative Manual > Health Management and Quality Improvement > Care Management > Kidney Care Program

Medica Kidney Care Program

The purpose of the Medica Kidney Care Program, administered by OptumHealth, is to provide support and education to members with late-stage chronic kidney disease (CKD) or end-stage renal disease (ESRD). The program is designed to improve clinical outcomes, improve quality of life, and reduce medical costs through early identification of individuals living with chronic kidney disease. 

Eligible patients have access to and ongoing engagement with specialized registered nurse (RN) case managers, dieticians, social workers, and other supportive services as part of this program. Through telephonic management, the Medica Kidney Care team takes an integrated approach to assist members in managing their kidney disease. Members are guided to nephrologists, in-network dialysis centers, home therapies, preferred access placement, and kidney transplants. Members are provided with educational materials and empowered to make lifestyle changes. Community providers may receive notification of patients who may be eligible to take advantage of these services.

REV 1/2024