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Enhanced Care Management Patient Care Plan Form Page 1DIRECTIONS: This template form is provided to contracted Claim Enhanced Care Management (ECM) providers to support access to a care management
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How to fill out enhanced care management

01
Ensure you have all necessary information and documentation on the patient's medical history and current health status.
02
Identify any gaps in care or areas where the patient may require additional support or interventions.
03
Develop a comprehensive care plan that addresses the patient's individual needs and goals.
04
Coordinate with other healthcare providers and services to ensure seamless and integrated care for the patient.
05
Regularly monitor and evaluate the patient's progress and make adjustments to the care plan as needed.

Who needs enhanced care management?

01
Patients with complex or chronic health conditions that require ongoing monitoring and management.
02
Individuals who have multiple comorbidities and need coordination of care between multiple healthcare providers.
03
Patients who are at risk for hospital readmission or have frequent emergency department visits.
04
Individuals who require assistance with activities of daily living or managing medications.
05
Patients who would benefit from proactive care management and support to improve their overall health outcomes.
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Enhanced care management is a program that provides additional support and resources to individuals with complex healthcare needs.
Healthcare providers and organizations are required to file enhanced care management for their patients.
Enhanced care management can be filled out by documenting the patient's medical history, current healthcare needs, and any additional support services required.
The purpose of enhanced care management is to improve the overall quality of care for individuals with complex healthcare needs.
Information such as the patient's medical history, current healthcare needs, and any additional support services required must be reported on enhanced care management.
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