| Insurance: | IMPlus Molina/Molina MMCP | Optum | IMPlus Blue Cross/ Blue Cross MMCP |
|---|---|---|---|
| CM: | T1017e | T1017e | T1017 |
| Facility: | Boise/Nampa-CM | Boise/Nampa-CM | MMCP |
| Documentation: | Case Management-Care Coordination progress note | Case Management-Care Coordination progress note | Case Management-Care Coordination progress note |
| Remember to put in the number of units and make sure the time is right | Remember to put in the number of units and make sure the time is right | Remember to put in the number of units and make sure the time is right | |
| CM Review: | T1017f | T1017f | T1017b |
| Facility: | Boise/Nampa-CM | Boise/Nampa-CM | MMCP |
| Documentation: | CM Review *Remember to get a signature page! *Don't forget the audit *Needs to be completed within 10 days of appointment |
CM Review *Remember to get a signature page! *Don't forget the audit *Needs to be completed within 10 days of appointment |
CM Review *Remember to get a signature page! *Don't for get the audit *Needs to be completed within 10 days of appointment |
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