Get the free Revised Medi-Cal Care Management Referral Form

CONTRACTUAL|MAY 1, 2018|UPDATE 18282| 3 PAGESRevised Medical Care Management Referral Form Health Net Community Solutions, Inc. (Health Net), on behalf of Calvin Health, has revised the Care Management

How to fill out revised medi-cal care management

How to fill out revised medi-cal care management

1. Obtain the revised Medi-Cal care management form from the Medi-Cal website or your healthcare provider.
2. Fill out all required personal information such as name, address, date of birth, and Medi-Cal ID number.
3. Provide details about your current healthcare providers, medications, and medical conditions.
4. Sign and date the form, ensuring all information is accurate and up to date.
5. Submit the completed form to your Medi-Cal managed care plan or healthcare provider for review and approval.

Who needs revised medi-cal care management?

1. Individuals who are enrolled in Medi-Cal and require coordinated care management services.
2. Patients with complex medical conditions requiring ongoing monitoring and support from healthcare professionals.
3. Individuals with multiple chronic conditions who would benefit from a personalized care plan and healthcare coordination.

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What is revised medi-cal care management?

Revised medi-cal care management is an updated version of the care management process for Medi-Cal recipients.

Who is required to file revised medi-cal care management?

Healthcare providers and facilities participating in the Medi-Cal program are required to file revised care management reports.

How to fill out revised medi-cal care management?

Revised medi-cal care management can be filled out electronically through the Medi-Cal online portal or submitted in paper form to the designated Medi-Cal office.

What is the purpose of revised medi-cal care management?

The purpose of revised medi-cal care management is to monitor and coordinate healthcare services for Medi-Cal recipients more effectively.

What information must be reported on revised medi-cal care management?

Revised medi-cal care management must include information on the patient's medical history, treatment plans, medication records, and any other relevant healthcare information.