Definitions
A personalized document that addresses a member's needs, goals, and tasks
Care Plan
When you meet a member for the first time, what do they sign?
Consent forms
A meeting between case manager and other providers to discuss a member's needs, challenges, and goals
What kind of care does a PCP provide?
preventive
When can a member be disenrolled after unsuccessful diligent search?
After 3 months
A U.S. law enacted in 1996 to provide health insurance access and set national standards for the privacy and security of electronic and paper health information
HIPAA
This lengthy form must be completed within 60 days of signing a new member
Comprehensive Assessment
What is the national hotline for mental health crisis and suicide prevention?
988
Who assesses, plans, coordinates, and monitors healthcare services to meet a patient's physical, mental, and social needs?
Care Manager
Name 3 of the 7 most common chronic illness in adults living in the U.S.
heart disease, cancer, diabetes, obesity, high blood pressure, arthritis, and chronic obstructive pulmonary disease (COPD)
A meeting with another care manager to introduce member and discuss their needs, goals, and challenges
warm transfer
When are strengths, barriers, and risks completed?
within 60 days
Which dental specialist specializes in root canal treatment and dental pulp
Endodontics
What record gives care managers an overview of a member's health history?
PSYCKES
Who provides and coordinates medical services for its members?
Managed Care Organizations (MCO)
What's the number of the DOH form that notifies the member and/or legally authorized representative of their Health Home enrollment
Form DOH 5234