Needs-Stratification. Needs stratification aims to align the member’s overall medical and social needs with the most appropriate level of care management for that member, including WICT for highest needs members. In order to achieve this alignment, HMOs must use individual member-level needs stratification as an input for developing individual care management plans, and for using those plans to provide care management for the members. The HMO’s care management team will be responsible for conducting and validating the needs stratification results. The HMO must have established processes, systems, tools, models, and administrative and clinical staff to conduct the following tasks related to needs stratification:
Appears in 6 contracts
Samples: www.forwardhealth.wi.gov, www.forwardhealth.wi.gov, www.forwardhealth.wi.gov
