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EXHIBIT GG(8)FIRST LEVEL COMPLAINT DECISION NOTICE×PH MCO: Use if the Complaint is NOT about the following: a denial because the
service or item is not a Covered Service; the failure of the PH MCO
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How to fill out continuity of care
How to fill out continuity of care
01
To fill out the continuity of care form, follow these steps:
02
Start by filling out your personal information, including your name, address, and contact information. Make sure to provide accurate and up-to-date details.
03
Next, provide information about your current healthcare provider. This includes their name, address, and contact information. If you have multiple healthcare providers, you may need to fill out separate sections for each of them.
04
Indicate the reason for your need for continuity of care. This can include a medical condition, ongoing treatment, or a specific procedure that requires consistent care.
05
Provide details about any upcoming appointments or procedures that you have already scheduled. Include the date, time, and location of each appointment.
06
If you have any specific preferences or requirements for your future healthcare provider, make sure to clearly communicate them in the form. This could include language preferences, specialized services, or any other important factors for your care.
07
Review the completed form to ensure all the information is accurate and complete. Make any necessary corrections or additions before submitting it.
08
Finally, sign and date the form to indicate your agreement and understanding of its contents. Keep a copy of the completed form for your records and submit the original to the relevant healthcare provider or institution.
Who needs continuity of care?
01
Continuity of care is needed by a wide range of individuals, including:
02
- Patients undergoing ongoing medical treatment or managing chronic conditions
03
- Individuals transitioning between healthcare providers
04
- Those requiring coordinated care across different healthcare settings, such as hospitals, clinics, and home health agencies
05
- Individuals with complex medical histories or multiple healthcare specialists
06
- Individuals with mental health or behavioral health needs
07
- Patients who have recently been discharged from the hospital and require follow-up care
08
- Individuals at the end-of-life stage who need palliative and hospice care
09
- Individuals seeking comprehensive and coordinated care for their overall well-being
10
- Patients with special needs or disabilities who require consistent and coordinated healthcare support
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What is continuity of care?
Continuity of care is the coordination of health care services that a patient receives over time.
Who is required to file continuity of care?
Health care providers are required to file continuity of care for their patients.
How to fill out continuity of care?
Continuity of care can be filled out electronically or manually, including the patient's information, medical history, and treatment plans.
What is the purpose of continuity of care?
The purpose of continuity of care is to ensure that patients receive consistent and quality health care services.
What information must be reported on continuity of care?
Information such as patient demographics, medical history, medications, allergies, and recent treatments must be reported on continuity of care.
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