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12. COORDINATION OF CARE A. Care Management Requirements 1. IEP Monitoring and OversightAPPLIES TO: A. This policy applies to all IEP DualChoice Cal Disconnect (Medicare Medicaid Plan) Members.POLICY:
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Care management requirements are the set of guidelines and protocols that outline the necessary actions and steps to ensure the proper care and management of individuals in need of assistance or support.
Healthcare providers, social workers, case managers, and other professionals involved in the care and management of individuals are required to file care management requirements.
Care management requirements can be filled out by collecting relevant information, assessing the individual's needs, developing a care plan, and documenting the actions taken to address those needs.
The purpose of care management requirements is to ensure that individuals receive the appropriate level of care and support to improve their health outcomes and quality of life.
Information such as the individual's medical history, current health status, treatment plan, medications, and goals for care must be reported on care management requirements.
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