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How to fill out the IHCP Form Update - Bascp online
This guide provides a comprehensive overview of how to fill out the IHCP Form Update - Bascp online. It aims to help users navigate the process step-by-step, ensuring all necessary information is accurately submitted.
Follow the steps to successfully complete your form.
- Click ‘Get Form’ button to access the IHCP Form Update - Bascp and open it in your chosen editor.
- Begin by completing the child’s photo section, ensuring that the image is current and clearly shows the child’s face.
- Indicate the plan creator by checking the appropriate box. Choose from options such as 'Parent', 'Doctor or Licensed Practitioner', 'Program’s Health Care Consultant', or specify 'Other'.
- Fill in the name of the child, ensuring the name is spelled correctly. Also, provide the date of completion.
- Respond to the question about any changes to the child’s Health Care Plan by marking 'YES' or 'NO'. If there are changes, indicate them in the space provided.
- Detail the chronic health care condition of the child, ensuring to provide specific information. For example, if asthma is indicated, describe the triggers.
- List the symptoms that the child experiences related to their chronic condition.
- Specify any medical treatments necessary while the child is in the program. Be clear about what is mandatory.
- Outline potential side effects associated with the treatment.
- Explain the potential consequences if the treatment is not administered.
- Confirm that all BASCP employees administering medication have completed the required training, noting the trainer's name.
- Print the name of the Licensed Health Care Practitioner and provide their authorization signature along with the date.
- Obtain parental or guardian consent by having them sign and date the section provided.
- After completing all sections, review the form for accuracy. Users can save changes, download, print, or share the completed form as needed.
Complete the IHCP Form Update - Bascp online today to ensure your child's health care plan is up to date.
Provider Enrollment Inquiries If you have questions about IHCP provider enrollment, enrollment status or provider profile updates, call Customer Assistance at 800-457-4584 and select option 2, and then option 1 to check provider enrollment status or option 3 to update provider enrollment information.
Fill IHCP Form Update - Bascp
NOTE: Prior authorization system update requests can also be submitted via the IHCP Atrezzo Provider Portal. An IHCP is required for any chronic health condition. Individual Health Care Plan Form. Plan must be renewed annually or when child's condition changes. Specialty code changes can be reported for no more than one service location per form unless all provider service locations are making the identical change. An IHCP ensures that a child with a chronic medical condition receives health care services he or she may need while attending the program. The IHP generally consists of an assessment, nursing diagnosis, goals, interventions, expected outcomes and evaluation. Change of Address for Health Care Professionals. Need help downloading or filling forms?
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