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 managem
ent to decrease costs while providing quality care, The Center for Hea
lth Program Development and Management (CHPDM) manages the program and
will be providing ''enhanced'' case management services to the identi
fied high-cost users under the age of 65.