PCT Skills
Care Coordination
Process
Forms
100

The skill we use to discover information about important people in the life of an individual.

What is the relationship map?

100

The type of care when the aide is a third party employee.

What is agency based care?

100

The process when someone is frequently seen in the ER.

What is emergency department care coordination?

100

The form for documenting a change in provider.

What is the DMAS 225?

200

The skill we use to make identify each person's responsibility.

What is the donut?

200

The type of care when the member is the employer of record.

What is consumer-directed care?

200

The process when someone is hospitalized for more than two nights.

What is the transition care coordination process?

300

The skill we use to help find the right staff support. 

What is matching?

300

The platform we use to identify community resources to meet social needs.

What is Find Help?

400

The skill we use to better understand a person's behaviors.

What is the communication chart?

400

One of the companies that provides our members incontinence supplies and delivery of other medical equipment.

What is Home Care Delivered?

500

The skill we use to listen for what's important to someone and what supports are needed on a day to day basis. 

What is good day/bad day?

500

The annual assessment of waiver eligibility.

What is the level of care review?

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