Get the free Care Coordinator Referral Form - Arkansas Department of Health - healthy arkansas
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Health Connections: AFC Connected Program. The Connected program snow a part of the Arkansas Foundation for Medical Care. For more information, click here. Connected is a program that assists Medicaid
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What is care coordinator referral form?
The care coordinator referral form is a document used to refer patients to care coordinators for assistance and support in managing their healthcare needs.
Who is required to file care coordinator referral form?
Healthcare professionals, including doctors, nurses, and case managers, are typically required to file care coordinator referral forms.
How to fill out care coordinator referral form?
To fill out a care coordinator referral form, you need to provide the patient's demographic information, medical history, current healthcare needs, and any specific reasons for the referral.
What is the purpose of care coordinator referral form?
The purpose of the care coordinator referral form is to facilitate the connection between patients and care coordinators, who can help coordinate their healthcare services and improve overall patient outcomes.
What information must be reported on care coordinator referral form?
The care coordinator referral form typically requires the patient's name, contact information, insurance details, medical history, current healthcare providers, and the reason for the referral.
When is the deadline to file care coordinator referral form in 2023?
The deadline to file the care coordinator referral form in 2023 may vary based on specific healthcare provider requirements. Please consult your healthcare organization for the exact deadline.
What is the penalty for the late filing of care coordinator referral form?
The penalty for the late filing of the care coordinator referral form may depend on the healthcare organization's policies. It is best to contact the responsible department or administrator to know the specific penalty.
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