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Enhanced Care Management and Community Supports Referral Form Kaiser Permanente accepts referrals for MediCal members with their coverage assigned to KP that are presumed to be eligible for a Community
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Individuals with complex medical conditions requiring coordinated care from multiple healthcare providers.
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Elderly individuals who may have multiple health concerns and require extra support to maintain their well-being.
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Enhanced care management is a coordinated approach to healthcare that focuses on providing comprehensive support and services to individuals with complex health needs, ensuring they receive appropriate care and resources.
Organizations and entities that provide enhanced care management services to eligible individuals, typically health providers or care management organizations, are required to file enhanced care management.
To fill out enhanced care management documentation, providers must collect necessary client information, outline the services provided, detail care coordination activities, and submit the forms according to the specified guidelines set by the governing body.
The purpose of enhanced care management is to improve health outcomes for individuals with complex needs by ensuring they have access to necessary healthcare services, reducing hospitalizations, and enhancing overall quality of care.
Information that must be reported includes patient demographics, care coordination activities, outcomes of care, services provided, and any relevant clinical data that contributes to the patient’s health management.
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