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SSP CARE MANAGEMENT REFERRAL FORM Please email this form to LOIS.VCAAA@ventura.org or fax to 8054777312. Filling out this form does not guarantee enrollment but will help us determine which applicants
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How to fill out mssp care management referral
How to fill out mssp care management referral
01
Obtain the necessary referral form from the MSSP care management program.
02
Fill out the patient's personal information, including their name, date of birth, and contact information.
03
Provide details about the patient's medical history, current health conditions, and any other relevant information.
04
Indicate the reason for the referral and what specific services or support the patient needs from the care management program.
05
Obtain any required signatures from the patient or their legal guardian.
06
Submit the completed referral form to the MSSP care management program either in person or via fax or email.
Who needs mssp care management referral?
01
Patients who require ongoing support and management of their medical conditions.
02
Patients with complex health issues who would benefit from coordinated care and resources.
03
Patients transitioning from hospital to home who need assistance in managing their post-discharge care.
04
Patients with multiple chronic conditions who would benefit from a comprehensive care plan.
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What is mssp care management referral?
MSSP Care Management Referral is a process where healthcare providers refer their patients to a care management program provided by a Medicare Shared Savings Program.
Who is required to file mssp care management referral?
Healthcare providers participating in a Medicare Shared Savings Program are required to file MSSP Care Management Referrals for their patients.
How to fill out mssp care management referral?
Healthcare providers can fill out MSSP Care Management Referrals through the online portal provided by the Medicare Shared Savings Program.
What is the purpose of mssp care management referral?
The purpose of MSSP Care Management Referral is to ensure that patients receive coordinated care and support to help improve their health outcomes.
What information must be reported on mssp care management referral?
MSSP Care Management Referral must include patient demographics, medical history, current health conditions, and the reason for the referral.
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