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Get the free Enhanced Care Management Provider Information Form. FRM1405051EH01w23-1502ECM Provid...

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Enhanced Care Management Provider Information Form Please complete this form and email to CalAIM_providers@healthnet.com to express your interest in becoming an Enhanced Care Management (ECM) provider.
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How to fill out enhanced care management provider

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Gather all necessary information about the patient's medical history and current health status.
02
Complete any required forms or documentation provided by the enhanced care management provider.
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Ensure all information provided is accurate and up-to-date.
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Follow any specific instructions provided by the enhanced care management provider for filling out the form.

Who needs enhanced care management provider?

01
Patients with complex medical conditions who require additional support and coordination of care.
02
Patients who have recently been discharged from the hospital and need assistance with transitioning back to their home environment.
03
Patients who require help managing multiple chronic health conditions.
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An enhanced care management provider is a healthcare organization or professional that delivers comprehensive, coordinated care services to patients with complex health needs to improve health outcomes and reduce hospitalizations.
Healthcare organizations, managed care plans, and providers who are engaged in enhanced care management services for patients under specific health programs are required to file as enhanced care management providers.
To fill out the enhanced care management provider application or report, gather necessary patient and organizational information, ensure all required documentation is complete, and follow the specific format and guidelines provided by the relevant health authority.
The purpose of enhanced care management providers is to facilitate better care coordination, address diverse patient needs, improve access to services, and ultimately enhance the quality of care provided to patients.
Information that must be reported includes patient demographics, types of services provided, coordination efforts, health outcomes, and any relevant performance metrics.
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