Referrals
This Job Aid is used to manage NICU referrals.
What is:
HFS NICU Care Manager Job Aid?
This Activity Type is used by the HARC Agent to document completion of a member's first prenatal care visit.
What is Confirm Prenatal Care Visit?
The Job Aid used for guidance on criteria for High or Rising Risk pregnancy.
What is
HFS Rising Risk Care Management Job Aid
or
HFS High risk Care Management Job Aid?
The document that provides instruction on how to merge temporary and permanent infant charts for ICUE.
What is the HFS Member Chart Merge – NICU job aid?
The process used for members you are unable to contact.
What is HFS Member Unable to Reach process?
If a member’s behavioral health needs cannot be met within an established Maternity CM / CHW relationship, use this Job Aid to see if member meets criteria for referral to Optum Behavioral Services.
What is:
Healthy First Steps Behavioral Health Referrals Job Aid?
The document used to track available HFS specific and general activities, contact types, along with assessment/scripts and define when each is used.
What is the HFS Activity Tracking Document?
This resource is used to find out how to retrieve Emergency Room events from CommunityCare.
What is HFS IP and ER Events – Population Health (Healthy First Steps IP and ER Events Job Aid)
This Job Aid provides detailed instruction on how to change a member’s risk level/HFS program.
What is the HFS Program Line Management Job Aid?
The Job Aid used if you are not sure what you should say to HFS members.
What is the Healthy First Steps Talking Points?
This Job Aid outlines steps for UM staff to refer members to a Maternity Care Manager (CM) / Community Health Worker (CHW) for earlier identification of inpatient stay and authorization of Makena services.
What is:
the HFS UM Referral Process Job Aid?
This Job Aid outlines the process for care management of pregnant DSNP members and documentation.
What is the HFS Care Management of DSNP Members?
Where do you find your job aids?
In the HFS SharePoint under the policies and job aids tab.
The resource used to find out how to add a Wellhop activity.
What is the QRG Wellhop Outreach and Enrollment Activities?
The resource job aid used to find out how to access the OBRAF tool in CommunityCare.
What is the Review OBRAF section in the Healthy First Steps High Risk (or Rising Risk) Pregnancy Care Management Job Aid?
The Job Aid to look for steps to refer a High Risk Pregnancy “lost contact” member for a CHW field visit.
What is the HFS Referrals to CHW Field Resources Job Aid?
This Job Aid details how to merge temporary NICU charts with permanent member charts.
What is the HFS Member Chart Merge – NICU Job Aid?
The Rising Risk Pregnancy/BIPOC program status is updated to ‘Enrolled’ by this person(s).
Who is the CHW or HARC agent?
The assessment used for a postpartum follow-up.
What is the HFS Pregnancy Outcomes Assessment New?
The Job Aid to provide precise instruction for adding a program enrollment line for Healthy First Steps (HFS) to support accurate reporting.
What is HFS Program Line Management?
This Job Aid allows timely identification of high-risk pregnant members who potentially qualify for and could benefit from SUD counseling, treatment, and case management services.
What is HFS Referrals to SUD Helpline Job Aid?
This Job Aid(s) provides guidance on the appropriate assessment that should be completed for a member.
What is the Healthy First Steps High Risk Care Management or Healthy First Steps Rising Risk Care Management job aids?
The Job Aid that provides instruction on how to refer a member to the HFS Monitor or HFS Referral to CHW work queues.
What is
the HFS High Risk pregnancy Care Management
or
HFS Rising Risk Pregnancy Care Management Job Aid?
The document that provides instruction on how to create a temporary infant chart in CommunityCare.
What is the Healthy First Steps High Risk NICU Care Management job aid?
The resource used for the process of updating a HFS profile.
What is the QRG HFS Profile in CC – Update Specialty?