| Insurance: | IMPlus Molina/Molina MMCP | Optum | IMPlus Blue Cross/ Blue Cross MMCP |
|---|---|---|---|
| TCC: | T1017K | ||
| Facility: | Boise/Nampa-CM | ||
| Documentation: | TCC Progress Note | ||
| *Remember to put in the number of units and make sure the time is right | |||
| TCC Review: | T1017L | ||
| Facility: | Boise/Nampa-CM | ||
| Documentation: | TCC 90 day Review *Remember to get a signature page! *Don't forget the audit *Needs to be completed within 10 days of appointment |
||
| TCC Plan: | T1017P | ||
| Facility: | Boise/Nampa-CM | ||
| Documentation: | TCC Treatment Plan *Remember to get a signature page! *Don't forget the audit *Needs to be completed within 10 days of appointment |
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