Referrals
Admissions
Intakes
Linkage/ Transfers
Discharges
100

Contact logs are entered here before a client is admitted to the program.

What is Client Communications?

100

The amount of time given before an Admission PDF is due after the intake

What is 24 hours?

100

An option provided to client/parents/caregivers who don't have access to complete intakes on DocuSign.

What is traditional paper intake packets?

100

This form is sent to parents/caregivers when a family can not be reached or isn't participating in services.

What is a 10-day no contact letter?

200

The amount of days a clinician has to connect with a new client after the referral is assigned

What is 3-5 days?

200
This document is mailed along with letter to the client's primary care physician.

What is a release of information form?

200

Name one of the reference documents provided to MediCal families from the intake packet

What is the MediCal guide, provider directory or notice of privacy practices?

200
This form is completed in EXYM when connecting a client to another program

What is the Referral & Linkage Form?

200

These forms are required in EXYM when discharging a client

What is the discharge summary, closing progress note, PSC-35, CANS and QOL measure?

300

Total number of days a clinician has to offer a therapy appointment after completing the Assessment

What is 10 days?
300

A PDF document that clinician's upload to EXYM once the intake is completed.

What is the PCP letter?
300

An option given to non Medi-Cal clients who reach the end of treatment yet still require additional services.

What is the Solano ACCESS line?

300

This EXYM form gives the Admin ladies (Ta'Shua & Elle) a heads up that you'd like a referral closed and removed from your client list.

What is the Referral Disposition form?

400

Name one of the forms not included in the DocuSign intake packet that must be completed in EXYM

What is the PSC-35, CANS, Allergy Alert, QOL, Pain or Nutrition form?

400

The amount of days a clinician has to schedule an initial appointment after a referral is assigned

What is 10 days?

400

The amount of time a client has to re-admit to the program without starting the intake process all over again after discharge.

What is 90 days / 3 months?

500

This form is required if an initial appointment is not offered/scheduled within 10-days of receiving a Medi-Cal referral.

What is a NOBE?

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