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801 Gateway Blvd., Suite 100 | South San Francisco, CA 94080 www.hpsm.orgEnhanced Care Management and Community Supports Provider List and Authorization Tips This list should be used as a reference
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How to fill out enhanced care management and

01
Gather patient information and assess their health needs.
02
Identify the services required for the patient's care.
03
Complete the enhanced care management application form with accurate details.
04
Ensure all supporting documents are attached, including medical records and referral letters.
05
Submit the application to the designated care management team.
06
Follow up with the care management team to track the status of the application.

Who needs enhanced care management and?

01
Individuals with complex health conditions requiring coordinated care.
02
Patients with multiple chronic illnesses needing regular monitoring.
03
Those experiencing social determinants of health that affect their well-being.
04
Individuals transitioning from hospital to home care.
05
Patients requiring assistance with accessing healthcare services.
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Enhanced care management is a comprehensive approach to coordinating and improving healthcare services for individuals with complex medical needs, aiming to provide more personalized and effective care.
Healthcare providers, including physicians, care managers, and organizations that offer care management services, are typically required to file enhanced care management.
To fill out enhanced care management documentation, gather necessary patient information, complete required forms detailing services provided, and ensure all data is accurate and up-to-date.
The purpose of enhanced care management is to improve patient outcomes by providing coordinated care that addresses the medical, social, and behavioral health needs of patients.
Information that must be reported includes patient demographics, details of care services provided, patient outcomes, and any referrals made to other healthcare services.
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