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How will you coordinate and manage the care and transitions of these patients including the incorporation of the following into the patient s care plan a. Evidence based guidelines and provider adherence b. Needs identified in the Social Determinants of Health Assessment 2. What methodology will you use to screen a patient s eligibility for Medicaid and other health affordability programs e.g. Benefit Bank Community Health Center plans Access Health SC etc. 3. Include statements addressing...

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