Get Ca Final Transition And Care Plan 2016-2025

Filling out the CA Final Transition And Care Plan is an essential step in ensuring individuals receive the appropriate support and services during their transition to community living. This guide aims to provide a clear and supportive approach to completing this form online, ensuring that all necessary information is accurately captured.

Follow the steps to effectively complete the CA Final Transition And Care Plan.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering your CCT lead organization information and the name of the person filling out the form. Make sure to provide the enrollee's legal name, Medi-Cal number, and date of birth.
3. Indicate the date of the scheduled transition and list any key changes that have occurred since the last assessment and the initial transition and care plan.
4. Document any hospitalizations or emergency room visits under the respective section.
5. Choose the secured housing arrangement from the options provided, such as returning to their own home or independent housing, and specify if transitioning alone or with others.
6. Estimate the enrollee's share of cost upon discharge from the facility, based on their anticipated Maintenance Need Level.
7. Complete the Post-transition Care Plan section by checking all applicable health care services and providing required details for any selected services.
8. In the supportive services section, list names and contact information for individuals and organizations that will provide additional support.
9. Check off any durable medical equipment (DME) that will be set up prior to the transition.
10. Provide information about health care providers involved in the care plan by listing their names and phone numbers.
11. Answer the questions regarding IHSS approval and provide information about caregivers, including names and contact information.
12. Review the Household Set-Up and Home Modifications sections, indicating their completion status and providing explanations if they are not yet finished.
13. Conduct a risk assessment by identifying potential areas of concern and outlining steps taken to prevent re-occurrence of those risks.
14. Fill out any additional information that is not included elsewhere in the form.
15. Ensure all required signatures are completed by the Transition Coordinator, the enrollee, and their legal representative if applicable.
16. Enter any relevant community physician intake appointment details, and then proceed to fill out the Health Care Service Plan, documenting health problems, interventions, and responsible providers.
17. Once all sections are completed, save your changes, download a copy, print it, or share it as necessary.

Complete your CA Final Transition And Care Plan online today to ensure a smooth transition process.