Intensive Care Management definition
Examples of Intensive Care Management in a sentence
The Contractor will maintain records to identify care coordination and Intensive Care Management activities.
The care management plan will describe the care management program including but not limited to the policies, procedures, practices and criteria for conducting the Health Risk Assessment and conducting providing care coordination and Intensive Care Management Services that comply with the requirements contained in ATTACHMENT G.
For all members receiving intensive care management, records will include the resulting Intensive Care Management Plan or documentation of why such a plan is not needed.
An Intensive Care Management Plan is a written plan developed in collaboration with the member, the member’s family (with written consent), guardian or adult caretaker, PCP and other providers involved with the member to delineate the Intensive Care Activities to be undertaken to address key issues of risk for the member that were identified in the course of the member’s enrollment with the Contractor.
At a minimum, care management functions must include, but are not limited to: (1) Health Risk Assessment for all members; (2) Short term care coordination, where appropriate; and, (3) Intensive Care Management, when appropriate.
Care Management services include both Intensive Care Management (ICM) for Enrollees who are eligible for LTSS and other high-risk Enrollees who may benefit from such services, and Care Coordination services for individuals with more limited needs.
An appropriately qualified professional who has successfully completed specialized training directly related to the Intensive Care Management Model of Service Delivery and is the accountable point of contact for Enrollees receiving Care Management services that are in Tier Three.
Code 441-90 is the minimum Criteria for Intensive Care Management (ICM) for members that are enrolled in the 1915(i) Habilitation Program or the 1915(c) Children’s Mental Health Waiver.
The Employer shall pay a Certification Differential in the amount of one-thousand-five hundred-dollars ($1,500) per year to a Registered Nurse who holds a current Case Management Certification, and one-thousand-five-hundred dollars ($1,500) per year to a Registered Nurse with a current Psychiatric Mental Health Certification, provided that the Registered Nurse is assigned to and working on the Intensive Care Management team.
Care Coordinators shall conduct a reassessment of Enrollees in Intensive Care Management at least every thirty (30) days, and Enrollees in Supportive Care Management at a minimum every ninety (90) days, and update the Enrollee Care Plan as needed.