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Intensive Care Coordination (ICC) Eligibility Evaluation NAME / Mandate: ___Service Code: 314 ICC Evaluation 540 NonBillMinute(s): ___Provider Name: ___Provider #:___Program Name: ___FAC/PRO: ___Place

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How to fill out intensive care coordination icc

01

- Gather all necessary information about the individual requiring intensive care coordination (ICC)

02

- Identify the needs of the individual and their family members or caregivers

03

- Complete the intake and assessment process for ICC services

04

- Develop an individualized care plan with the input of the individual and their support network

05

- Implement the care plan and monitor its effectiveness

06

- Coordinate with healthcare providers, social services, and other relevant agencies to ensure comprehensive care for the individual

Who needs intensive care coordination icc?

01

Individuals with complex medical needs requiring multiple services and care coordination

02

Individuals with chronic illnesses or disabilities that impact their daily functioning

03

Individuals with mental health conditions that require ongoing support and treatment

04

Individuals transitioning between different levels of care, such as from a hospital to home or a long-term care facility

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What is intensive care coordination icc?

Intensive Care Coordination (ICC) is a process of comprehensive care management for individuals with complex needs.

Who is required to file intensive care coordination icc?

Healthcare providers, case managers, or organizations responsible for coordinating care for individuals with complex needs are required to file ICC.

How to fill out intensive care coordination icc?

ICC forms can be filled out by documenting the individual's medical history, current health status, treatment plans, and other relevant information.

What is the purpose of intensive care coordination icc?

The purpose of ICC is to ensure that individuals with complex needs receive coordinated and comprehensive care to improve their health outcomes.

What information must be reported on intensive care coordination icc?

Information such as medical history, current health status, treatment plans, medications, and care coordination activities must be reported on ICC forms.

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