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FOR FASTER AUTHORIZATION, PLEASE VISIT: https://providers.carelonmedicalbenefitsmanagement.com/postacute/Initial Skilled Nursing Facility Authorization Request Form PLEASE FAX THIS FORM ALONG WITH
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The PAC-IM program (Patient Assessment and Care Integration Model) by Carelon is a healthcare initiative designed to enhance patient care through integrated assessments and tailored care plans.
Healthcare providers participating in the PAC-IM program, including hospitals and individual practitioners involved in patient assessment, are required to file.
To fill out the PAC-IM program forms, healthcare providers need to collect patient data, complete the required assessment templates, and submit them through the designated online portal or by mail.
The purpose of the PAC-IM program is to improve patient outcomes by promoting coordinated care, ensuring comprehensive assessments, and facilitating better communication among healthcare providers.
Information required includes patient demographics, assessment results, care plans, treatment outcomes, and any relevant health history that affects patient care.
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