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AUTHORIZATION FORM FOR HOME HEALTH OR HOSPICE CARE Instructions: Please print all requested information and submit this form and required documentation to OSU Health Plan via email at: UtilizationManagement.OSUHealthPlan@osumc.edu

How to fill out request and coordinate care

How to fill out request and coordinate care

1. Gather necessary information about the individual who needs care such as their name, contact information, and medical history.
2. Identify the specific type of care needed, whether it is medical, emotional, or physical.
3. Research and select a suitable healthcare provider or caregiver who is capable of providing the necessary care.
4. Contact the chosen provider and inquire about their availability and the services they offer.
5. Discuss the individual's care needs and any relevant medical information with the provider to ensure they are well-informed.
6. Fill out a request form or provide the necessary information over the phone, including details about the individual's condition, desired type of care, and any preferences or specific requirements.
7. Clearly communicate with the provider about the desired coordination of care, including regular updates, communication channels, and any necessary collaboration with other healthcare professionals.
8. Follow any additional instructions provided by the provider regarding the coordination of care, such as scheduling appointments or sharing medical records.
9. Keep track of the coordination of care and ensure that the individual's needs are being met effectively.
10. Regularly review and evaluate the care being provided to assess its effectiveness and make any necessary adjustments.

Who needs request and coordinate care?

1. Anyone who requires medical, emotional, or physical care can benefit from requesting and coordinating care.
2. This includes individuals with chronic illnesses, those recovering from surgeries or injuries, elderly individuals who need assistance, and individuals with mental health or emotional support needs.
3. Family members or caregivers who are responsible for coordinating and managing the care of a loved one also benefit from understanding how to fill out requests and coordinate care.

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What is request and coordinate care?

Request and coordinate care is a process in which healthcare providers work together to ensure that a patient receives the proper care and treatment.

Who is required to file request and coordinate care?

Healthcare providers are required to file requests and coordinate care for their patients.

How to fill out request and coordinate care?

Request and coordinate care forms can be filled out by providing necessary patient information, treatment plans, and any other relevant details.

What is the purpose of request and coordinate care?

The purpose of request and coordinate care is to ensure that patients receive appropriate and timely medical care.

What information must be reported on request and coordinate care?

The request and coordinate care form typically includes information about the patient, their medical history, current treatment plan, and any necessary referrals.