I live in Louisiana and the Medicaid system has various "plans" I usually notify the responsible plan and request they assign a social worker/care manager or someone to these patients. Most times the pt. doesn't know resources or the fact they are risking denial of payment of their ER visit. I think a lot of times as Case Managers we forget that these are not just our patients there other people responsible for proper utilization of resources, and we should tap into that.