Get Ispt Meeting Attendance Request - Ccbh - Ccres

Filling out the ISPT Meeting Attendance Request is a crucial step in coordinating care for individuals in the health system. This guide aims to provide you with clear and supportive instructions for completing the form effectively.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor for completion.
2. Enter the date at the top of the form alongside the care manager's details to record when the request is being made.
3. Fill in your information in the 'From' section, including the name of the case manager and a contact phone number.
4. Specify the agency you represent in the designated field to ensure proper identification of the request source.
5. List the ISPT facilitator's name and their phone number to establish communication channels.
6. Input the member's date of birth (D.O.B) to verify their identity.
7. Indicate the Member's County of HealthChoices Eligibility to clarify their health coverage.
8. Check all applicable types of requests for an ISPT meeting, including Initial, Continued Stay, Amended, Extended Authorization, and Transfer.
9. In the next section, recommend BHR services that are relevant: BSC, MT, TSS, or any other BHRS contracted program. Don't forget to specify the frequency and hours per week.
10. Indicate if the child has a diagnosis of Autism Spectrum Disorder by marking 'Yes' or 'No.'
11. Fill in the ISPT meeting's scheduled date, time, and location, including a full street address.
12. Provide a contact phone number that is applicable at the meeting location.
13. If the meeting is at a school, include the school contact person’s information.
14. List any other involved service workers or MR case managers in the appropriate section.
15. Finally, fax the completed form to your care manager's attention using the specified fax number provided for the community care clinical department.
16. Once you have filled in all relevant fields, review the form for accuracy. Save your changes, download a copy, or print it for your records.

Complete the ISPT Meeting Attendance Request online to ensure timely submission and follow-up.