It's a Process
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What is in the CM Toolkit?
What is create a member follow up task?
This assessment wants to know if a member is sad.
What is the PHQ?
In addition to the Call To Action in Member profile for Complete Care Eligibility
What is submit a referral to #CMLTCReferrals and upload to Trucare?
The type of task that triggers when a member does not complete the Initial or Annual HRA by the expected date.
What is a Non-Responder?
This assessment ensures that a member has an emergency plan in place and an assigned emergency risk level for future outreach in the event of an emergency.
What is the Pre-Emergency Preparedness Assessment (E-PREP)?
A1C>7.5, LDL >100, BMI >30
What is offer a nutrition referral?
If documentation is not able to demonstrate a members connection to PCP/Specialist.
What is create a 6-month follow up care gap task?
This assessment evaluates the conditions of a member's environment.
What is the SDOH?
Documentation
What is should accurately reflect the context of the outreach?
Multiple ED visits, Non-Compliance, Risk for falls, etc
What is create a task for manager review?
This assessment is used on first member interaction to identify member impacting issues.
What is the Initial Screening?
It's an inquiry
What is direct the member to speak with their provider to begin the process?
Time sensitive
What are ED Tasks and Member Call Back requests?
These 2 assessments can only be done with the member.
What are the PHQ and SDOH assessments?