Get Co Health First Pediatric Home Assessment Tool Cna Services And Rn-lpn Services 2022-2025

Filling out the CO Health First Pediatric Home Assessment Tool is a vital step in assessing the needs of a member requiring CNA and RN-LPN services. This guide provides clear, step-by-step instructions to assist users in completing the assessment accurately and efficiently.

Follow the steps to complete the assessment form.

1. Press the ‘Get Form’ button to access the assessment form and open it in the editing interface.
2. Begin by entering the member's name, birth date, and Health First Colorado ID in the designated fields.
3. Fill in the member's address and gender by selecting the appropriate option.
4. Provide the name, address, and telephone number of the healthcare provider, along with their ID.
5. Indicate the discipline of the person completing the assessment by selecting from RN, SLP, PT, OT, or MD.
6. Enter the date on which the assessment was completed.
7. In the Clinical Record Items section, specify whether the request is for CNA or RN-LPN services by marking the corresponding box.
8. State the reason for the assessment, choosing between new PAR, continuation of care, or revision of continuation of care.
9. Document the current payment sources by marking all that apply, including Health First Colorado and any government or private insurance.
10. List all relevant diagnosis codes and recent surgeries or procedures in the Patient History and Diagnoses section.
11. Detail the home equipment currently in use for the member, including assistive devices and technology.
12. Fill out the Pediatric Assessment Tool definitions and instructions, addressing the specific modifiers and skilled tasks as they apply to the member.
13. Complete each modifier and task assessment by selecting the appropriate options based on the member's needs and abilities.
14. Review your entries for accuracy and completeness.
15. Once satisfied, choose to save changes, download, print, or share the completed form.

Start filling out the CO Health First Pediatric Home Assessment Tool online to better evaluate and cater to the healthcare needs of members.