Get Care Coordinator Submitting Changes: Care Coordinator Phone ...

Filling out the Care Coordinator Submitting Changes form is a crucial step for care coordinators to ensure accurate updates to recipient status within the program. This guide will provide you with clear, step-by-step instructions on how to properly complete the form online.

Follow the steps to complete the online submission process.

1. Click the ‘Get Form’ button to retrieve the form and open it in the editor.
2. Fill out the care coordinator information, including your phone number and email address. Ensure that all provided contact details are current and accurate for effective communication.
3. Enter the recipient's name and ID number in the designated fields. Verify the information for correctness to avoid any processing delays.
4. If there are changes in the recipient’s address, input the previous address and the new address in the corresponding fields.
5. For changes to the recipient's phone number, record both the previous and new phone numbers in the appropriate sections.
6. If applicable, indicate any changes in legal representation. Provide the name of the previous legal representative, the new legal representative, and include copies of any relevant legal documents.
7. If there has been a name change, enter the new name and provide a reason for the change in the specified field. Ensure to attach copies of the necessary documentation supporting this change.
8. For hospital or facility admissions or discharges, record the name of the institution along with the admission or discharge date in the designated sections.
9. Review all entries for accuracy and completeness before submitting. Once satisfied with the information provided, save the changes.
10. Download or print the completed form, then submit it along with any additional documents via fax or mail to the designated addresses.

Complete your documents online today to ensure timely updates and proper management.