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CASE MANAGEMENT REFERRAL REQUESTDATE SUBMITTED:Fax authorization request to: (818)5345423___CASE MANAGEMENT REFERRAL CRITERIA MET (Select one) Patient with 2 or more medical conditions listed below
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How to fill out health net case management

01
Gather all necessary information for the case management form.
02
Start by filling out the client's personal information such as name, address, and contact details.
03
Provide details about the client's medical history and current health status.
04
Include information about any ongoing treatments or medications the client is receiving.
05
Document the goals and objectives for the client's case management plan.
06
Make sure to follow any specific guidelines or requirements set by Health Net for case management forms.
07
Review the completed form for accuracy and completeness before submitting it for review.

Who needs health net case management?

01
Individuals with complex medical conditions who require coordination of care from multiple healthcare providers.
02
Patients who have been recently discharged from the hospital and need assistance with their transition back to home care.
03
Clients who are having difficulty managing their chronic illnesses and could benefit from regular monitoring and support.
04
Families with special needs children who need help navigating the healthcare system and accessing necessary services.
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Health Net case management is a program designed to coordinate healthcare services for individuals with complex medical needs.
Healthcare providers, insurers, and other entities involved in the coordination of care are required to file health Net case management.
Health Net case management forms can be filled out online or by submitting paper forms with all required information regarding the patient's medical history and treatment plans.
The purpose of Health Net case management is to ensure that patients with complex medical needs receive coordinated, high-quality care that meets their healthcare goals.
Information such as the patient's medical history, treatment plans, medications, and any recent healthcare provider visits must be reported on Health Net case management forms.
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