If there is overlap between columns B and D or columns C and D in the first table, please indicate the strategies you have in place to mitigate conflict by placing an “X” in the appropriate box. State State State monitoring monitoring Bene Waiver/State Admin approval of Other through through survey complaint Plan Program firewalls plans of analysis of of beneficiary system care referrals satisfaction Please add more detail if needed:
If there is overlap between columns B and D or columns C and D in the first table, please indicate the strategies you have in place to mitigate conflict by placing an “X” in the appropriate box. Waiver/State Plan Program Admin firewalls State approval of plans of care State monitoring through analysis of referrals State monitoring through survey of beneficiary satisfaction Bene complaint system Other Please add more detail if needed:
3._Conflict-Free_Case_Management_Form[1].docx