Outreach Enrollment Forms and Netsmart
100
What is 3.
What is the number of progressive attempts that need to be completed in outreach and when enrolled?
100
What is within 30 days.
What is within 30 days.
100
What is GRHHN or HHUNY, Care Management, MCO, PCP, Behavioral Health provider.
What is the first 5 items to sign on DOH 5055?
200
What is a phone call, a provider call, a home visit, check jail census, and check inpatient.
What is some examples of progressive attempts?
200
Before enrolling the client what must be completed in Netsmart and verified yearly in both (GRHHN) and (HHUNY)?
Within how many days of enrollment do you have to verify the diagnosis?
200
What is DOH 5236 with a note documenting discussion with client.
If client is not eligible for HH CM (GRHHN or HHUNY) which DOH form needs to be completed?
300
.What is Calendar month you receive the referral and the following Calendar month.
How long is the outreach process?
300
Upon enrollment, yearly, and when changes occur
How often are medications uploaded into Netsmart?
300
What is Hand in to Susan Bagoly(CM Scanning box).
What do you do with the referral form after you checked (with initials) boxes completed?
400
What is 3 business days.
What is the number of days you have to begin outreach after receiving the referral?
400
What is provide copy to client and a copy for CM Scanning
What do you do with the DOH 5234?
400
What is Erecord or Fax Strong Hospital ROI signed consent to Provider.
Where can you find the diagnosis and medication list?
500
What is
1. Write the outreach note that intro letter was sent to the client
2. Call referral source
3. Call client
Once you receive a referral what are the first 3 things you should do?
500
What is DOH 5055(HH information Sharing Consent)
And
DOH 5234(Notice of Enrollment)
Which 2 forms are not required for BHCM clients to enroll?
500
What is BHCM, HHUNY, GRHHN.
What is 3 forms of care management are practiced at Strong Behavioral Health?






Outreach and Enrollment

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