Get the free Primary Care Case Management PCCM Referral Guide - nd

ND DEPT OF HUMAN SERVICES MEDICAL SERVICES DIVISION Revised 62514 Primary Care Case Management (PCC) Referral Guide Most North Dakota Medicaid Recipients must enroll with a Primary Care Provider (PCP)

How to fill out primary care case management

How to fill out primary care case management:

1. Start by gathering all necessary paperwork and documents, including the patient's medical history, insurance information, and any relevant clinical notes or test results.
2. Complete the necessary demographic information, including the patient's name, date of birth, address, and contact information.
3. Provide detailed information about the patient's medical condition, including any diagnoses, current medications, and past medical treatments or surgeries.
4. Indicate any special needs or accommodations the patient may require, such as language assistance or mobility aids.
5. Include information about the patient's primary care provider and any specialists involved in their care.
6. Specify the patient's insurance information, including the provider's name, policy number, and any required authorizations or referrals.
7. Document any relevant financial information, such as the patient's income and household size, to determine eligibility for financial assistance programs.
8. Sign and date the form to certify the accuracy of the information provided.
9. Submit the completed form to the appropriate primary care case management department or agency.

Who needs primary care case management:

1. Patients with complex medical conditions that require coordination and management across multiple healthcare providers and settings.
2. Individuals who have chronic illnesses or disabilities that require ongoing and coordinated care to optimize their health outcomes.
3. Patients with limited access to healthcare resources or who face barriers to receiving appropriate medical care.
4. Individuals with significant social or behavioral health needs that impact their overall health and well-being.
5. Patients who may benefit from care coordination services to ensure seamless transitions between healthcare settings and providers.
6. Those who require assistance in navigating the healthcare system and accessing necessary medical, social, and community resources.

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What is primary care case management?

Primary care case management is a system in which a primary care provider manages and coordinates the healthcare services for a patient, ensuring the patient receives the necessary care.

Who is required to file primary care case management?

Healthcare providers, health plans, and managed care organizations are required to file primary care case management.

How to fill out primary care case management?

Primary care case management is typically filled out by a healthcare provider who is responsible for managing the care of a patient. The form includes information about the patient's medical history, current medications, and treatment plans.

What is the purpose of primary care case management?

The purpose of primary care case management is to ensure that patients receive coordinated and comprehensive care from their primary care provider, leading to better health outcomes.

What information must be reported on primary care case management?

Information such as the patient's medical history, current medications, treatment plans, and any referrals to specialists must be reported on primary care case management.