Pcp Review Report

Housing Update: client NY NY I, II was approved. Client is waiting for DHS manifest to tour apartment. Another alternative housing is MRT once client SSI is approved. Client also mentioned she signed up with Brightpoint Health Home Health Services since 5/9/2015, Client report she will like to sign up with CAMBA/Home Health and she provided BrightPoint Home Health approval letter for CM to submit to CAMBA/Home Health Coordinator. Client is waiting for her coordinator at Brightpoint to return from vacation to close her case, so that she can sign up with CAMBA/Home Health

The patient is very independent in his home and is able to perform all ADLS within the home without any addtional assistance. MSW asked patient if he was interested in any addtional care giving support in the home, but patient declined addtional support at this time. Patinet stated he gets transportation from his neiabors to the store when needed. MSW offered the patient additional transportation services, but the patient declined needing any addtional transportation services at this time.Patient reported falling back in 2004 off the steps and was air lifted to the hospital. Patient reports having diffculty paying doctors and helicoter bills. Patinet's only income is through SS for $847. Patient reported that was the only time he was fallen in his life. Patinet has only been in the hospital two times during his lifetime. MSW offered life alert services, but the patient was not interested. Patient stated his only concern was being able to afford his doctor and helicotor transportion bills. MSW connected AHCCCS and spoke to represtative regarding getting patient signed up for the medicare savings program. Representative stated the patient has already applied for AHCCCS back in

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

Service Coordinator (SC), Jennifer Stoker met personal staff, Aiesha Crayton at the home of consumer Jonathan .SC asked was Jonathan meet his outcome would like is medical expenses to cover. Aiesha noted he has Medicare and Medicaid which cover all his medical expenses. SC asked if money covering his want and needs. Aiesha noted yes. He wants and needs are being meet. Jonathan wants his cell to be paid every month. Aiesha noted he cell is being paid every month. SC asked is Jonathan maintain good health. Aiesha noted he when to his PCP on June the 1st. She noted he is health and there was no change in medication.

CM was out on vacation for the period of 8/15/2015 to 8/24/2015. On 9/1/2015, CM met with the client to complete Bi-Weekly ILP Review. Client arrived early for the meeting. She was alert, satisfactorily groomed, and casually dressed. She was cooperative and appropriate in the meeting. She made eye contact appropriately. The client described her mood as “good” Her affect was in appropriate. She doesn’t appear to be in distress. CM inquires how the client has been doing since the last Bi-Weekly ILP Review. Client replies “ she is good”. She continues to relate she doesn’t make anyone aggravate her. She also mentioned lately one of her male friend graph hole of her cell number, and he calls her every day. CM inquires how it got hold of her cell# client replies “she doesn’t know”. CM advised the client if he continues to harass her two things she can do: One file a police complain or change her cell number.

On 8/7/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting; she was alert, satisfactorily groomed, and casually dressed. In the meeting she was cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly ILP Review. Client reported she is exhausted from running around obtaining relevant documents to be submitted to Lemle & Wolfe, Inc. by 8/3/2015. She continues to reports she has Straight Medicaid and she is searching for a Managed Cared that cover oxygen tanks.

This is a follow-up email in reference to the Kansas Medicaid status on Judith Totten. After another review the Medicaid status confirmed as not eligible for the Dual plan for the Medicaid level the client has. Please contact the Producer Help Desk at 888-381-8581 if further assistance is needed. Sorry for any inconvenience.

SC completed monitoring telephone call with Pa on 1/20/2016. SC called Pa. Pa reported that ding “good”. Pa reported no new health problems, no medications, no falls, and no hospitalizations. Pa reported no outstanding doctor’s visits. Pa reported that’s he saw her PCP on 1/19/2016. SC reviewed Pa's ISP. Pa confirms that she is receiving services in the following type, scope, amount, frequency and duration of services specified in the ISP agency model aide via Total Home Health Care from 10-2PM, Monday through Sunday. Pa's aide provides assists her with the completion of ADLs, IALDs and supervision as needed. Pa has PERS system which gives her access to emergency medical service. Pa also, receives HMD from PCA weekly. She reported being satisfied

On 8/12/2016, CM met with the client to complete Bi-Weekly ILP Review. In the meeting CM observed that the client was wearing the same clothes from last session. She was hostile in the meeting. Client was wearing a yellow skirt and black blouse. Client was wearing summer hat, reading glasses and a mask covering her nose and mouth. CM also observed client had foul body odors. During the interview session client continues to be loquacious complaining that “People are out to get client and how residents are using Marijuana on her foot. Client continues to reports some of the residents here at the shelter are part of the “Russian Mafia” and when they used Marijuana on both leg it triggered the open wound ulcer and it cause it to discharge foul odor.

The conference offers workshops that will clarify changes in the new Medicare policies as well as provide information detailing the supplemental insurance policies available to patients. This training offers a wonderful benefit to North Shore because when all care coordinators are educated about the new Medicare policies and can calculate the correct supplemental insurance plans for each patient, coordinators can recover treatment costs for the clinic. While the total cost to attend this conference is $18,000, this amount pales in comparison to the treatment costs that will be recovered due to the education of the clinic’s patient coordinators. Knowledge of the Medicare changes can help coordinators recover, for the clinic, up to or exceeding $50,000, per patient, in some cases. Therefore this one time cost will reap large returns down the

Once CM received the updated psychiatric evaluation CM will submit 2010e application. Client also has an active LINC IV (plus) voucher with expiration 3/23/2016. Client submitted copy of housing log. Client is MRT acceptance its pending.

After many calls to Dr. Vanderjagt’s office, a prescription order was obtained and faxed to Hope Network. I have spoken with Hope Network and confirmed that they are able to accommodate the therapy recommended by the FCE. I have made many calls to Hope Network working on providing them the open claim letter and also the FCE. On 10/13/17 I scanned and faxed the FCE and open claim letter again and confirmed they received it.

QMHP called the client to informed her that she is not eligible for case management due to (1) living in Independence and (1) has inactive Medicaid. QMHP informed Ms. Anderson that she could receive services at Swope as an outpatient. Ms. Anderson asked if she could get her medications and other services (Imani House, vision, dental) without having Medicaid. QMHP told Ms. Anderson that she could. Ms. Anderson stated she will apply for her Medicaid. QMHP apologized to Ms. Anderson two times because at the intake, QMHP had informed Ms. Anderson that he was eligible for CSS. QMHP told Ms. Anderson that after she her Medicaid is active, she could request for a CSS. QMHP thanked Ms. Anderson for her understanding and hang up the

SC complete monitoring phone call on 01/20/2016 with Pa's PAS (Cheryl). Pa reports receiving all services as outlined in ISP. He remains satisfied with services and feels that they meet his current needs. No falls, hospitalization, changes in health status or medication reported by Pa. No outstanding follow up needs identified. The day before SC received a phone call from Cheryl reporting that Pa’s is running low on heating oil and has exhausted all other option and would like PCA emergency fund to supple Pa with heating oil. SC completed the paperwork and gave to SDCS to review and submit. At the time of this call retreated that the paperwork has been submitted and Pa will receive the heating oil as long as he is qualified and has not use

On 4/6/2016, CM met with the client to complete Bi-Weekly ILP Review. In the meeting client was dressed in a brown jacket and beige pants and black sneaker. She was wearing reading glasses. During the session client reported she wasn’t feeling well she have a strep throat for the past 8 days. She reports coughing, fever and sore throat.CM inquires if the client met with the on-site medical staff client replies “No”. CM advises the client to see on-site medical staff. Client in the meeting was repeating the same things over and over.