in their K). The care management/care coordination 2011 and 2014 NCQA PCMH 5, NCQA: deeming x resources arrange for, and coordinate all Element A requires practices to medical, developmental, behavioral systematically track tests and TCPI: deeming once J: health and social service referrals and coordinate care across specialty care, milestone Phase 4.E is “[Care tracks referrals and test results on a facility-based care and community achieved. timely basis for high-risk patients. organizations. will] 2011 and 2014 NCQA PCMH 5 Element B, (Must Pass) requires for, practices to track and follow-up on set up, referrals. Practices are to track and referrals that are by the “determined clinician to be important to a patient’s treatment, or as indicated by practice all guidelines. This includes referrals to medical specialists, mental health and
in their K). The care management/care coordination resources arrange for, and coordinate all medical, developmental, behavioral health and social service referrals and tracks referrals and test results on a timely basis for high-risk patients. 2011 and 2014 NCQA PCMH 5, Element A requires practices to systematically track tests and coordinate care across specialty care, facility-based care and community organizations. 2011 and 2014 NCQA PCMH 5 Element B, (Must Pass) requires practices to track and follow-up on referrals. Practices are to track referrals that are “determined by the clinician to be important to a patient’s treatment, or as indicated by practice guidelines. This includes referrals to medical specialists, mental health and NCQA: deeming TCPI: deeming once milestone Phase 4.E is achieved. J: “[Care will] for, set up, and all x
Cost%20Management%20Strategies%20with%20NCQA%20PCMH%20Kids%20crosswalk%2001152016.docx