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Claim ECM Member Information File Guidance DRAFT FOR PUBLIC COMMENTBackground Enhanced Care Management (ECM) Providers, particularly those unable to consume Member enrollment and encounter files in
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Gather all the member's information including their personal details, contact information, and medical history.
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Enhanced care management member refers to a program designed to provide additional support and services to individuals with complex health needs.
Healthcare providers and organizations responsible for managing the care of individuals with complex health needs are required to file enhanced care management member.
Enhanced care management member can be filled out by providing detailed information about the individual's health needs, care plan, goals, and any services or support provided.
The purpose of enhanced care management member is to improve the coordination and quality of care for individuals with complex health needs.
Information such as the individual's health history, current medications, care team members, treatment plan, and progress towards goals must be reported on enhanced care management member.
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