Get Lme-mco Consumer Admission And Discharge Form

Completing the LME-MCO Consumer Admission And Discharge Form online is essential for ensuring accurate records for consumers receiving services. This guide provides a step-by-step approach to assist users in filling out the form efficiently and accurately.

Follow the steps to complete your form accurately.

1. Press the ‘Get Form’ button to access the LME-MCO Consumer Admission And Discharge Form and open it in your chosen online platform.
2. Start by entering the consumer's first name, middle initial, last name, and if applicable, maiden name. Ensure to follow the format specified in the form.
3. Input the consumer's date of birth in the specified format of month, day, and year.
4. Fill in the LME-MCO name, facility code, and consumer record number as directed. This information may be assigned or indicated by the LME-MCO.
5. Specify whether this is an admission or an update of existing information, along with the consumer's current admission date.
6. Provide the consumer's county of residence and their physical zip code to ensure accurate demographic data.
7. Select the consumer's ethnicity, marital status, race, and gender. Ensure only one option per category is chosen.
8. Complete the military status and education level by entering the appropriate codes as outlined in the form.
9. For non-Medicaid consumers, include the annual family income and size at the time of admission. These fields are critical for fee determination.
10. Input the number of consumer arrests in the 30 days prior to admission and the living arrangement at the time of admission.
11. Record the admission referral source and check whether the consumer is proficient in English, also specifying their primary language.
12. If applicable, indicate any special needs accommodations and provide the effective date for any diagnoses.
13. List up to three diagnosis codes in the order of importance, ensuring to use the correct ICD codes as per instructions.
14. Complete additional fields regarding substance use, if relevant, and provide necessary treatment details.

Complete your forms online today to ensure swift processing and accurate data management.