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PRINTED: 01/16/2020 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out coordinating care from out-of-state

01
Contact the healthcare provider in the state where the patient is currently residing.
02
Obtain necessary medical records and information from the patient's current healthcare provider.
03
Coordinate with the patient's insurance provider to ensure coverage for out-of-state care.
04
Schedule appointments with healthcare providers in the state where the patient will be receiving care.
05
Ensure communication between all healthcare providers involved in the patient's care both in-state and out-of-state.

Who needs coordinating care from out-of-state?

01
Patients who require specialized medical care that is not available in their current state.
02
Patients who have established relationships with healthcare providers in another state and wish to continue care with them.
03
Patients who are traveling out-of-state and require medical attention during their trip.
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Coordinating care from out-of-state refers to the process of managing and providing healthcare services to patients who receive medical treatment outside their home state. This involves collaboration between healthcare providers, insurers, and patients to ensure continuity and quality of care.
Healthcare providers and organizations that deliver care to patients residing in one state but receiving treatment in another state are required to file for coordinating care from out-of-state.
To fill out coordinating care from out-of-state, providers must complete the designated forms by providing relevant patient information, details of the out-of-state care, and any necessary authorizations as required by the state regulations.
The purpose of coordinating care from out-of-state is to ensure that patients can access necessary healthcare services across state lines while maintaining continuity of care and compliance with health regulations.
Information that must be reported includes patient identifiers, the type of care received, the out-of-state provider details, outcomes of care, and any relevant health records associated with the treatment.
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