Care Management Model. Care management includes a comprehensive assessment and care plan, care coordination and case management services. This includes a set of processes that arrange, deliver, monitor and evaluate care, treatment and medical and social services to a person. Care Management Staff: Staff that assists in patient-centered, evidence-based, coordinated care and services designed to effectively manage health conditions and help members meet their self-identified goals. Care Plan: Written documentation of decisions made in advance of care provided, based on a comprehensive assessment of a person’s needs, preferences and abilities, defining how services will be provided. This includes establishing objectives (desired outcomes) with the client and determining the most appropriate types, timing and supplier(s) of services. This is an ongoing cycle of activity as long as care is being provided. Case Management: The management of complex clinical services needed by the PIHP members, ensuring appropriate resource utilization and facilitation of positive outcomes. For persons with serious mental illness, case management should be provided by and supervised by staff with mental health expertise. CESA (Cooperative Educational Service Agencies): The unit serving as a connection between the state and school districts within its borders. There are 12 CESAs in Wisconsin. Cooperative Educational Service Agencies coordinate and provide educational programs and services as requested by the school district. Child in Out-of-Home Care: Refers to a child taken into custody and determined by a judge to meet the need for continuation of custody under s. 48.21(4)(b) or a parent/legal guardian signs a Voluntary Placement Agreement with DMCPS or the county Child Welfare Agency. A child in out-of-home care may reside in a variety of different placement settings, including a xxxxxx home, a group home, or a relative’s home. Although this contract uses the term “Xxxxxx Care Medical Home” the reference applies to all children placed in an eligible out-of-home care placement setting.
Care Management Model. A health care delivery process to arrange, deliver, monitor and evaluate the member’s care, including all medical and social services, with the goal of helping members achieve their self-identified goals. For SSI members, the Care Management Model includes the following processes: a screening, information gathering and assessment, needs-stratification, comprehensive care plan development, care plan review and updates, and appropriate transitional care. Care Management Staff: Staff that assists in patient-centered, evidence-based, coordinated care and services designed to effectively manage health conditions and help members meet their self-identified goals. Care Plan: Written documentation of decisions made in advance of care provided, based on a comprehensive assessment of a person’s needs, preferences and abilities, defining how services will be provided. This includes establishing objectives (desired outcomes) with the client and determining the most appropriate types, timing and supplier(s) of services. This is an ongoing cycle of activity as long as care is being provided. Case Management: A collaborative process of assessing, planning, facilitating, coordinating, evaluating, and advocating for options and services to meet an individual’s comprehensive health needs through communication and available resources to promote quality and cost-effective outcomes. CESA (Cooperative Educational Service Agencies): The unit serving as a connection between the state and school districts within its borders. There are 12 CESAs in Wisconsin. Cooperative Educational Service Agencies coordinate and provide educational programs and services as requested by the school district. CFR: Code of Federal Regulations.
Care Management Model. A health care delivery process to arrange, deliver, monitor and evaluate the member’s care, including all medical and social services, with the goal of helping members achieve their self-identified goals.
Care Management Model. Care management includes a comprehensive assessment and care plan, care coordination and case management services. This includes a set of processes that arrange, deliver, monitor and evaluate care, treatment and medical and social services to a person. Care Plan: Written documentation of decisions made in advance of care provided, based on a comprehensive assessment of a person’s needs, preferences and abilities, defining how services will be provided. This includes establishing objectives (desired outcomes) with the client and determining the most appropriate types, timing and supplier(s) of services. This is an ongoing cycle of activity as long as care is being provided. Case Management: The management of complex clinical services needed by the PIHP members, ensuring appropriate resource utilization and facilitation of positive outcomes. For persons with serious mental illness, case management should be provided by and supervised by staff with mental health expertise. CESA (Cooperative Educational Service Agencies): The unit serving as a connection between the state and school districts within its borders. There are 12 CESAs in Wisconsin. Cooperative Educational Service Agencies coordinate and provide educational programs and services as requested by the school district. CFR: Code of Federal Regulations. Child in Out-of-Home Care: Refers to a child taken into custody and determined by a judge to meet the need for continuation of custody under s. 48.21(4)(b) or a parent/legal guardian signs a Voluntary Placement Agreement with DMCPSDMCPS or the county Child Welfare Agency. A child in out-of-home care may reside in a variety of different placement settings, including a xxxxxx home, a group home, or a relative’s home. Althought this contract uses the term “Xxxxxx Care Medical Home” the reference applies to all children place in an eligible out-of-home care placement setting.
Care Management Model. A health care delivery process to arrange, deliver, monitor and evaluate the member’s care, including all medical and social services, with the goal of helping members achieve their self-identified goals. For SSI members, the Care Management Model includes the following processes: a screening, information gathering and assessment, needs-stratification, comprehensive care plan development, care plan review and updates, and appropriate transitional care. Care Management Staff: Staff that assists in patient-centered, evidence-based, coordinated care and services designed to effectively manage health conditions and help members meet their self-identified goals. Case Management: A collaborative process of assessing, planning, facilitating, coordinating, evaluating, and advocating for options and services to meet an individual’s comprehensive health needs through communication and available resources to promote quality and cost-effective outcomes. Comprehensive Care Plan (for Medicaid SSI members only): Written documentation of a plan of action developed by the HMO and the member that identifies strengths, needs, goals, and necessary interventions to be addressed within a specific timeframe. The Care Plan is a living document that reflects an ongoing cycle of activity as long as care is being provided.
