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| * EWC & DC clinic - seen in-person (if needed - sometimes just coordination of paperwork) in about 2 weeks | | * EWC & DC clinic - seen in-person (if needed - sometimes just coordination of paperwork) in about 2 weeks |
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| '''OLD INFORMATION'''
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| *New Empanelment Referral Form (NERF) for DHS eligible patients needing PCP
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| *[[How to NERF]]
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| *Prioritize for patients actually need PCP, not for routine PCP follow up
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| *Before NERF’ing, ensure that the patient '''wants a PCP within DHS''' and has '''given their preferred phone number'''.
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| *DO NOT NERF patient with MHLA or has non-DHS Medi-Cal managed care.
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| **If the patient no longer wants to get their care from their current MHLA or Medi-Cal managed care provider and the patient confirms that they would prefer to come to DHS, then a NERF may be submitted.
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| **Use the Comment Box to indicate that the patient would like to switch their care to a DHS provider. This will help the Patient Relations Team know that the NERF was not submitted in error.
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| *Time frame to empanelment depends on where the patient is in obtaining Medi-Cal. Where they are in the process will determine how quickly the patient can be NERF’d
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| *Medi-Cal continuum is complex, check the ‘Additional Patient Info’ on ED Summary or Demographics to find out what patient’s insurance plan is
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| **Hospital presumptive eligibility (HPE) 402
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| ***Need to go to Financial Services in 3S to complete their application for Medi-Cal,
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| ***Must do so before the end of the following month.
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| ***Only good ONCE in 12 months.
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| **Fee For Service (FFS) 405 window
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| ***When application getting processed.
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| ***Will get packet for them to PICK plan, or will get auto-assigned.
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| ***Might start out DHS but then turned into OOP later.
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| **Restricted 406 for patients
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| *** Don't qualify for a plan due to residency challenges, or self pay
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| *** CAN GET NERF'd quickly
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| *Ask Registration if you have any questions on shift
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| *Patient Access Center/Appointment Center x66500 for patients that want to schedule clinic follow up or enquire about their NERF status.
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| *[https://wikem.org/wiki/Template:CCC|Continuity Care Clinic (CCC)] is a good resource with adult patient getting discharged with chronic medical condition that cannot get NERF'd quickly (HPE and FFS).
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| *[[Insurance Codes]]
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| [[Category:Admin]] | | [[Category:Admin]] |
