The Access Department has made some changes to the
Access Screening Form and Procedure for your walk-in, "no wrong
door" screenings.
Please begin to use these forms (below) immediately, and ALL new screenings
MUST be completed according to this procedure as of January 1, 2006.
Please call the Access unit at 225-2800 or 1-800-951-3792
and speak with an Access Clinician.
Open them directly by clicking on them, or save them
to disk (the easiest way on a PC is by right-clicking your mouse.) The
files are in Word 2000 and Adobe Acrobat 5.0 PDF files.
Each document link is set to open in a new window.
| Procedures |
| Provider Choice Policy (05/20/05) |
Word
File |
PDF |
| Direct Access Procedures (11/14/05) |
Word
File |
PDF |
| Case Status Determination Tool (4/25/08) |
Word File |
PDF |
| Communications |
Bulletin #82 - 06/04/2008
Revised CDW Reporting Requirements and Family Size and Family Income Data for Active Consumers.
|
Word File |
PDF |
Family Size/Income Data Collection Form
|
Excel Spreadsheet |
|
PCP Admission Form (6/02/08)
|
Word
File |
|
STR Registration Form (6/02/08)
|
Word File |
|
Bulletin #80 - 05/01/2008
Case Status Determination |
Word File |
PDF |
Bulletin #75 - 01/25/08
Case Reponsible Transfer Procedure
This Bulletin Supercedes#33 |
Word File |
PDF |
Assignment of Case Reponsibility/1st Responder
|
Word File |
PDF |
Bulletin #44 - 07/06/06
Consumer Demographic Registration Update
This Bulletin Supercedes Communication Bulletin #42 |
Word
File |
PDF |
Bulletin #42 - 06/15/06
Notification of New Consumer Demographic Registration Form Requirements
Historical use only, policy no longer applies. Please refer to Communication
Bulletin #44 |
Word File |
PDF |
Bulletin #39 - 06/06/06
General Procedures for use of Diagnostic Assessment |
Word
File |
PDF |
Bulletin #33 - 04/17/06
Case Responsible Transfer Procedure
Refer to Communication Bulletin #75 for an update to this Communication. |
|
|
| |
|
|
| Forms |
| Assignment of Case Reponsibility/1st Responder |
Word File |
PDF |
| Family Size and Family Income Data for Active Consumers |
Excel Spreadsheet |
|
Description of Consumer Clinical Issues Form
(09/21/07) |
Word
File |
PDF |
| PCP Admission Form (6/02/08) |
Word
File |
|
| STR Registration Form (6/02/08) |
Word File |
|
| Agency Referral Information Form (1/06/06) |
Word File |
PDF |
| Agency Provider Profile (2/16/06) |
Word File |
PDF |