Get the free Notification from MCO of HIV Positive Enrollee - mmcp dhmh maryland
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This document serves as a notification from the Managed Care Organization (MCO) regarding the diagnosis of HIV in a pediatric enrollee under 13 years of age.
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How to fill out notification from mco of
How to fill out Notification from MCO of HIV Positive Enrollee
01
Obtain the Notification form from the Managed Care Organization (MCO).
02
Fill in the enrollee's personal information, including name, date of birth, and identification number.
03
Provide details regarding the HIV diagnosis, including the date of diagnosis and any relevant medical history.
04
Indicate the services and support required for the enrollee due to their HIV status.
05
Ensure that all information is accurate and up-to-date before submission.
06
Sign and date the form as required.
07
Submit the completed Notification form to the appropriate department or contact at the MCO.
Who needs Notification from MCO of HIV Positive Enrollee?
01
Individuals who are enrolled in a Managed Care Organization (MCO) and have received a diagnosis of HIV.
02
Healthcare providers who are responsible for notifying the MCO about the enrollee's HIV status.
03
The MCO's care coordination team to provide appropriate services and support.
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What is Notification from MCO of HIV Positive Enrollee?
Notification from MCO of HIV Positive Enrollee is a formal communication from a Managed Care Organization (MCO) reporting that an enrolled member has tested positive for HIV.
Who is required to file Notification from MCO of HIV Positive Enrollee?
The Managed Care Organization (MCO) that provides services to the HIV positive enrollee is required to file the notification.
How to fill out Notification from MCO of HIV Positive Enrollee?
To fill out the notification, MCOs must provide details such as the enrollee's identification information, HIV test results, and other relevant clinical data as mandated by state regulations.
What is the purpose of Notification from MCO of HIV Positive Enrollee?
The purpose of the notification is to ensure that appropriate public health measures are taken and that the enrollee receives necessary care and support services.
What information must be reported on Notification from MCO of HIV Positive Enrollee?
Information that must be reported includes the enrollee's name, date of birth, identification number, the date of the positive HIV test, and any relevant medical history.
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