PNCMA Basics
This assessment is designed for pediatric members classified as non-complex
What is the PNCMA?
One of three places to start the PNCMA: assessment tab, floating action button, or this menu.
What is the Mega Menu?
Choose this outreach reason when documenting the PNCMA activity.
What is Assessment Outreach?
A level two member has a PNCMA need identified. This plan may be required.
What is the IMP?
Every IMP includes at least one of these.
What is a need?
This must happen before discussing or documenting member information during the assessment call.
What is HIPAA verification?
Turn this on so prior PNCMA information carries forward for review.
What is pre-populate?
Use this feature to connect the PNCMA to the outreach record.
What is Add existing work list items/attach assessment?
A caregiver reports transportation barriers to appointments. In the IMP, transportation should be captured as this.
What is a barrier or need?
An outcome should be written around this person or family result rather than CM activity.
What is a member-centered outcome?
This final confirmation verifies that the member or guardian reviewed and accepted responses.
What is the acceptance confirmation checkbox?
Choosing this option submits and locks the assessment from further editing.
What is Complete?
The staff member completes a PNCMA, identifies a need, but documents no outreach or follow-up. Identify the risk.
What is incomplete documentation and missed care planning follow-up?
A new plan must generally be completed within this many days after PNCMA/PCMA completion.
What is 15 days?
Entering an exact next contact date creates this.
What is a specific obligation/due date?
This person's information should be used when the member cannot answer due to age, capacity, or circumstances.
Who is the guardian/caregiver?
Staff should use this option when they are not ready to submit because information is missing or follow-up is still needed.
What is Save For Later?
After completing the PNCMA, staff should document what was found, what action was taken, and what happens next.
What is a follow-up note/outreach note?
A need found in the PNCMA should be carried into this part of the IMP so progress can be tracked.
What is an intervention/action step?
This should be realistic, member-centered, and tied to the need identified during assessment.
What is a goal/outcome?
Before submitting the PNCMA, staff should review responses for accuracy, missing items, and identified needs.
What is final review/quality check?
This section or feature helps staff locate assessments that are pending, incomplete, or need action.
What is the work list?
A note says "PNCMA completed" but does not mention needs, barriers, next steps, or IMP updates. Identify the issue.
What is incomplete documentation?
If a PNCMA identifies food insecurity, transportation issues, or caregiver stress, the IMP should be updated with this.
What is a need/barrier and related goal?
This date tells when the next required contact or follow-up must occur and should not be guessed.
What is a specific due date/next contact date?