Information that helps Evergreen complete a faster placement fit review.

Complete, current referral information helps reduce delays and allows Evergreen to determine service capability, payer pathway and next steps more efficiently.

Clinical and health information

• Current diagnoses and recent changes in condition
• Medication list and medication-administration needs
• Recent hospital, rehabilitation or clinic records when relevant
• Ordered monitoring, treatments or therapies

Functional support needs

• Bathing, grooming, dressing, eating and toileting support
• Continence needs
• Walking, wheelchair, transfer and bed-mobility needs
• Equipment used for safe mobility or transfers

Cognitive, behavioral and safety information

• Orientation and memory concerns
• Exit-seeking, wandering, aggression or other behavioral support needs
• Fall, seizure, aspiration or other relevant safety risks
• Decision-maker, guardian, POA or authorized representative information when applicable

Payer and timing

• Private Pay, LTC Insurance or Medicaid waiver pathway
• Case manager and county information
• Authorization status when applicable
• Desired move date and current setting

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