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NMC Workflow

CLINICAL REFRESHER SPRING 2021
Horizontales
To verify providers when they declined referrals use one of the following: provider id, tax id, ssn or...
No appropriate network provider found and participant does not wish to pursue alternative modalities.
Case type for B.H. requests for minors under 12 without risk or not clinically appropriate for family counseling.
Provider requests for case/clinical consult are transferred to. (hypen btw words)
Prior to assigning a case for follow up and/or feedback you must obtain.
Contact information is documented in handoff note in ALL CAPS for 13-17 NMC requests.
OOS follow up declined, assign to yourself and...
If determined Inscope and then declines NMC services.
Verticales
Providers may initiate auth ext. on active or expired auths if they have seen them within...
All call transfers are...
Instruct participant to call back____ ASAP after scheduling with the provider. (hypen btw words)
Requested NMC screened and then referred to MOS website to register.
Web-based counseling cases assigned to.
Only email if participant specifically ask that to be done.(hypen btw words)
Yes to Feedback, no follow up needed due to appt scheduled, assign to...