Outreach and Enrollment Process
MSHCN
Process
Maternal Health
Process
Surveillance
Process
Assessments/Events
100

The first Initial Outreach attempt must occurs within this many days of being queued for outreach

What is seven

100

ALL MSHCN need what 2 tasks in there journals for follow up?

What is 90 day and 180 day

100

Trimester reviews must be completed within this many weeks of second and third trimester

What is 2 weeks

100

The amount of calendar days required between CME closing and new referral submission

What is 30

100

This event is used to document changes in address, phone and email

What is the address phone or email change event

200

The number of outreach attempts candidates for Intensive receive before CME can be closed

What is 5

200

The identified for CM through drop down option on MSHCN referrals

What is state mandated list/MSHCN

200

If the members only dx is pregnancy this tool is not required for a CMA to complete during enrollment

What is SF

200

Members with a CME that closed less than 30 days require referral to be documented on this event

What is CM Activity Tracker

200

This assessment is used to scored and used to determine a member's CM level candidacy

What is the HRQ

300

The total number of calendar days each member has for outreach to be completed before being out of compliance

What is 14

300

MSHCN CMEs are placed in Pop Health and saved in what status if member was unable to reach and no assessments are completed

What is "Pending"

300

This agency partners with us to provide breast feeding support

What is Nest

300

Once referral is received and document in Dynamo, documentation of referral is also needed in this program

What is QNXT

300

This event is used to generate a CME and begin the outreach process

What is the referral event

400

The name of the dashboard used to locate alternate contact numbers from CVS pharmacy database

What is salesforce or engagement dashboard

400

The grid used to figure out what CMA needs to be assigned to a MSHCN follow up task

What is the Alpha Grid

400

The maternal age of member in which they would be considered high risk

What is 

  • Maternal age <16 or > 35
400

How many days does CMA team have to contact a member after referral is entered in Dynamo?

What is 7

400

Two assessments required at the delivery follow up

What is 

Post-Partum Questionnaire

Edinburgh Questionnaire

500

The number of days an AAPCA member's outreach process to be completed

What is five

500

What does MSHCN stand for

What is Member with Special Health Care Need

500

The amount of months a member is kept in Pop Health after delivery

What is 12

500

Urgent referrals must be followed up on in 1 business day. Non urgent referrals must be followed up on within this amount of days

What is 3

500

Event required to document requests for Krames information

What is a materials request