Get the free BH/PMP Coordination of Care Form - MDwise

BH/PMP Coordination of Care Form Member Name: Clinician Name: Date: Member Medicaid ID: Clinician Address: Clinician Phone: Fax: Dear Colleague: The above named member was seen for initial behavioral

How to fill out bhpmp coordination of care

How to Fill Out BHPMP Coordination of Care:

Start by providing your personal information:

1. Write your full name, date of birth, and contact information.
2. Include your address, phone number, and email address.
3. Make sure to provide accurate and up-to-date information.

Indicate your healthcare provider:

1. Write the name, address, and contact information of your primary healthcare provider.
2. This could be your doctor, nurse practitioner, or any other healthcare professional overseeing your care.

Specify your medical condition:

1. Describe your medical condition or diagnosis for which you require coordination of care.
2. Include any relevant details such as symptoms, previous treatments, and medications.

List other healthcare providers involved in your care:

1. Write down the names, addresses, and contact information of any specialists or healthcare professionals who are also treating you.
2. This may include therapists, surgeons, or any other specialists involved in your treatment plan.

Provide information about your medical history:

1. Write about any significant medical history, previous surgeries or hospitalizations, or chronic conditions you have.
2. This helps in giving a holistic view of your healthcare needs to ensure coordinated care.

Include medications and allergies:

1. List all current medications you are taking, including prescription drugs, over-the-counter medications, and supplements.
2. Mention any known allergies or adverse reactions you have experienced in the past.

Write down your goals and specific needs:

1. Describe your healthcare goals and what you hope to achieve through coordination of care.
2. Specify any particular needs or preferences you have regarding your treatment plan.

Who Needs BHPMP Coordination of Care:

Individuals with complex medical needs:

Patients with multiple chronic conditions or significant medical history who require coordinated care from various healthcare providers.

Patients undergoing specialized treatments:

Individuals undergoing extensive surgeries, long-term rehabilitation, or complex medical procedures that require coordination between different specialists.

Older adults with multiple care providers:

Elderly individuals who may have multiple healthcare providers involved in managing their health, including primary care physicians, specialists, and caregivers.

Individuals with mental health conditions:

Patients seeking coordinated care for both their physical and mental health needs, which may involve collaboration between psychiatrists, therapists, and primary care providers.

Those transitioning between healthcare settings:

Patients moving from hospitals to rehabilitation centers, nursing homes, or home care require coordinated care to ensure continuity and quality of treatment.

In summary, filling out the BHPMP Coordination of Care form involves providing personal information, specifying your medical condition and providers involved in your care, sharing your medical history, and listing medications and allergies. This coordination is necessary for individuals with complex medical needs, those undergoing specialized treatments, older adults with multiple care providers, individuals with mental health conditions, and patients transitioning between healthcare settings.

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What is bhpmp coordination of care?

BHPMP coordination of care is a process where healthcare providers collaborate to ensure that patients receive comprehensive and seamless care.

Who is required to file bhpmp coordination of care?

Healthcare providers and facilities involved in a patient's care are required to file BHPMP coordination of care.

How to fill out bhpmp coordination of care?

BHPMP coordination of care can be filled out by documenting all the relevant information about a patient's treatment, medications, and follow-up care.

What is the purpose of bhpmp coordination of care?

The purpose of BHPMP coordination of care is to improve communication and coordination among healthcare providers, leading to better outcomes for patients.

What information must be reported on bhpmp coordination of care?

Information such as patient demographics, medical history, current medications, treatment plans, and referrals must be reported on BHPMP coordination of care.