Wellness Coordination

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Wellness Coordination services means the development, maintenance and routine monitoring of the waiver participant’s Wellness Coordination plan and the medical services required to manage his/her health care needs.

Wellness Coordination services extend beyond those services provided through routine doctor/health care visits required under the Medicaid State Plan and are specifically designed for participants requiring assistance of an RN/LPN to properly coordinate their medical needs.

Tier I: Health care needs require at least weekly* consultation/review with RN/LPN including face to face visits once a month

Tier II: Health care needs require at least weekly consultation/review with RN/LPN including face to face visits at least twice monthly.

Tier III: Health care needs require at least twice weekly consultation/review with RN/LPN including face to face visits once a week

 

*Weekly – a calendar week (Sunday – Saturday)


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