Get Ambetter Discharge Consultation Documentation 2017-2026

Completing the Ambetter Discharge Consultation Documentation online is an essential step in ensuring proper follow-up care. This guide provides a clear and supportive approach to help users fill out the form effectively.

Follow the steps to successfully complete the documentation

1. Click ‘Get Form’ button to obtain the document and open it in the editor.
2. Begin by filling in the member's name and date of birth in the designated fields. Make sure to provide accurate information as it is crucial for identification purposes.
3. Enter the Member ID number along with the name of the parent or guardian if applicable. Completing this section ensures proper tracking and communication.
4. Provide the member's current address and phone number. Additionally, specify the best time to reach the member or parent/guardian to facilitate communication.
5. List an emergency and/or additional point of contact along with their phone number. This is important to have an alternative contact for any urgent situations.
6. Fill in details for the outpatient therapist, including their name and phone number, as well as the date of the next appointment.
7. If applicable, add information for the case manager and psychiatrist, providing their contact details and the date of the next appointments.
8. Indicate whether the member has medication available until the follow-up appointment by selecting 'Yes' or 'No.'
9. List any other follow-up appointments, including the name/type of the provider, their phone number, and the date of the next appointment.
10. Indicate if the member attended a 510 (Bridge) appointment during the discharge process. If yes, provide the name of the staff and date/time of the appointment.
11. Confirm that all appointments are set within seven calendar days with a licensed behavioral clinician. If not, be prepared to report this to Ambetter.
12. Complete the discharge diagnosis section by noting primary, secondary, tertiary, and additional diagnoses, ensuring to include accurate details.
13. Record the medication prescribed at discharge and indicate the discharge disposition, specifying where the member will stay post-discharge.
14. Sign the document as facility staff, along with the date of admission and discharge. This section validates the information provided.
15. Ensure the member or guardian signs the form, indicating their agreement, and specify the time of discharge.
16. Finally, enter the facility fax number, ensuring all relevant contact information is included.

Complete your documentation online to ensure appropriate follow-up care for members.