Category: Member Chapter
Member Closure Request Process
Request for Additional HC (T1002) Units
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply Home Care ADvantage Medically Fragile Per policy, a maximum of eight (8) units per day of nursing may be billed for assessment/evaluation and/or service plan development. These units include assessment and IDT visits and are not considered Skilled Nursing Visits. Assessment and IDT visits must be...
ViewRequest for Additional CM Units
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply Case Management ADvantage Case Management (CM) services assist a Member in gaining access to medical, social, educational, or other services, regardless of payment source of services, that may benefit the Member in maintaining health and safety. Case Managers initiate and oversee...
ViewRelations Tab
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply Case Management Home Care Assisted Living All Programs ADvantage, Medically Fragile and Living Choice Programs: This process will be used by both the Case Manager and Home Care/Assisted Living Nurse anytime a Relation is added to, updated, inactivated, or when there is...
ViewMember Closure Request Process
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply All Providers All Programs ADvantage, Medically Fragile and Living Choice this process will be used by both the Case Manager and other Non-Case Manager users anytime a Member record needs to be closed. SPPC this process will be used by the Home...
ViewMedications Tab
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply Case Management Home Care Assisted Living All Programs ADvantage, Medically Fragile and Living Choice Programs: This process will be used by both the Case Manager and Home Care/Assisted Living Nurse anytime a Medication is added to, updated, or inactivated in a Member’s...
ViewCompanion Plan
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply All Providers ADvantage and SPPC If an individual is identified as having a “Companion Plan,” this status must be reflected on the Demographics tab of the member record by following the steps below. Cases considered a “Companion Plan” include: Note: Members identified...
ViewLPN Completed Nurse Visit
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply Home Care LPN’s All Programs This process will be followed whenever an LPN completes a nursing assessment to notify the RN that the assessment documentation has been completed. The RN will receive the notification regarding the visit on their My Harmony Chapter/Members...
ViewAdd a Note (Member Record/Notes Tab)
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply All Providers All Programs
ViewAdd a Note (Member Record/Plans Tab)
Provider Type(s) for Which These Instructions Apply Program(s) for Which These Instructions Apply All Providers All Programs
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