Enter the appropriate prefix then an asterisk to perform this action.
What is wild card search?
To add more details to a saved note perform these steps.
What is append, add not changes, and save?
To view member demographics, go to this screen.
What is Case Details?
PLUTO says "No Precertification is Required? and the provider and facility are in network. This should be done to the case.
What is wrap up/cancel? Do not create case!
To check that all requirements and validations have been met for a case go to this tab. (Hint: TRAFFIC LIGHT TAB)
What is the Intake Review Tab?
You will select this tab to review the length of stay in ACMP.
What is the Clinical Review tab?
You need to update a provider in ACMP. Under Case Details, this is the subtab to be reviewed.
What is Provider Details?
The clinical review for inpatient and outpatient cases is completed in this system.
What is ACMP?
In ACMP you can add, replace, or delete a diagnosis code on this screen.
What is Clinical Review Screen?
You are approving an outpatient case in ACMP. Your status will be set to this.
What is approved?
To move a case to a new queue manually you will navigate to these tabs.
What is Case Details>Request Details>Transfer Case?
This is calculated automatically in ACMP to assist you in staying in compliance with Medicaid regulations.
What is TAT?
You can use an HCID to do this in ACMP.
What is find a case?
You will add medical necessity review criteria on this screen.
What is the Clinical Review Screen?
To check if requested service is a covered benefit on member's plan, go to this screen.
What is Benefit Summary?
You received a warning to close your case due to system downtime. You should do this to keep your data.
What is save, exit, and return to dashboard?
Who are Cayci or Amanda?
When sending a case to the medical director you must enter these two items before completing the medical director template.
What is Type of Review and Reason for Review?
To verify the members address go to this screen.
What is Case Details?
You are a clinician working in ACMP. You can return to AUMI using this resource.
What is QuickLinks?