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Inspire (SNBC) care coordination
This page contains, forms, guides, templates and clinical resources for SNBC Care Coordinators.
Screening & Care Plan Tools
- Inspire (SNBC) Health Risk Assessment
- HP Inspire Assessment Checklist
- Instructions for SNBC Care Plan
- SNBC Care Plan
- 6 Month Review Check List
Letter Templates
- Care Navigation Transition Letter
- DCM Information Letter
- Health Survey Letter
- SNBC CC Change
- SNBC Care Plan to Patient
- SNBC CC Introduction Letter
- SNBC Care Plan to MD or Care Team Letter
- Unable to Contact
- Unable to contact/health survey attached
- 65+ SNBC to MSHO/MSC+ Instructions and Letters Template
Medical Director Rounds Forms
- DHS Application Access Request
- Benefit Exception Inquiry
- Benefit Exception Instructions
- Benefit Exception Workaid
- Care Coordination Exception Request Form
- Care Transition Notification Fax Template
- DHS MMIS Data Entry Form
- DHS MMIS Data Entry Confidentiality Agreement
- HealthPartners Programs Referral Form
- Home and Community-Based Services (HCBS) Transfer & Communication Form [DHS-6037]
- Homecare Authorization Inquiry Form
- HP Authorization to Disclose PHI
- Long Term Care (LTC) Communication Form [DHS-5181]
- Long Term Care Screening Document (LTCSD) [3427H]
- My Important Contacts and Phone Numbers Form
- My Important Contacts and Phone Numbers Instructions
- My Move Plan Summary [DHS-3936]
- Recommendation for State Plan Home Care Services[DHS-5841]
- OBRA Level 1 Screening Form [DHS-3426]
- Telephonic LTCSD [DHS-3427T]
- Oral Care Tip Sheet
- Provider Notification/Additional Cleanings
- SNBC Dental Access Outreach Workaid
- SNBC Dental Access CC Tool
- SNBC HP ER Dental Outreach Letter
- SNBC HP Dental Outreach Letter
- Disability Specialists Brochure- Assistance with Social Security Application
- Health Information Library
- Fast Track Interventions
- Fast Track Interventions UTI
- Key Contacts
- Language & Interpreter Services
- Language Line - Telephone Interpreter
- Medication Therapy Management (MTM) Brochure
- MinnesotaHelp.Info
- PAS Process
- PAS Checklist
- Housing Stabilization Serivces Resources
- SNBC Perks Brochure
- Farm and Rural Stress Presentation
- Best Practices in Supported Decision Making:How to be an effective supporter
- Webinar Presentation - March 2022
- SNBC Care Coordination Reference Guide- MnCHOICES version NEW!
- SNBC Care Coordination Reference Guide
- DHS HSS Overview
- Psychiatric Inpatient Admission Guide
- ACT Teams
- NAMI Mental Health Crisis Planning
- NAMI Behavioral Health Medications List
- DHS Behavioral Health Homes Website
- SNBC RideCare & Spec. Transportation Exception Request Policy
- RideCare Request Form
- RideCare Exception Form