Addendum 3.3.10 - FCM Pregnant Cornerstone Workflow

 Rev. 10/2019
ADDENDUM 03 03 10 FCM PREGNANT CORNERSTONE WORKFLOW (pdf)
  • Participant Lookup - PA01 (Local & Statewide)
  • Participant Enrollment - PA03
    • Address - Add/Edit as needed
  • Participant Information - PA15
    • Address - Add/Edit as needed
  • Additional Eligibility - PA42
  • Participant Group Relationship - PA06
    • Group Head = Mother/Guardian
  • Household Members - PA16 (Optional)
  • Caseload Reassignment - AD17 (Admin Only)
  • Medical Screens (As needed)
    • Initial Prenatal PA07
  • Assessments - AS01 (Required)
    • 711 - Prenatal Risk Assessment
    • 701 - Other Service Barrier
    • 707D - Prenatal Assessment
  • Service Entry - SV01
    • 802 - Prenatal Care
    • 803 - Prenatal Education
    • 812 - Medicaid Determination - RF01
    • 813 - Transportation - RF01
    • 825 - Perinatal Depression Screening >20wks Gestation
    • 940 - Postpartum Depression Brochure
    • 941 - Prenatal Reproductive Life Plan
    • PEWW - Women's Health Education
  • Case Notes - CM04
  • Care Plan Development
    • Participant Goals CM02 (Edit as needed)
  • Planned Services/Care Plan - CM03
    • Schedule Appointment - SC02
    • Service Provider - RF01 (Required to document specialty care, mental health, housing, 812-Medicaid Determination, 813-Medically necessary transportation, etc. Include follow-up.)
  • Care Plan Summary - CM09 (Inquiry Only)
  • Participant Referral History - RF03 (Print Screen)
  • Activity Entry - SV02 (Record time spent on participant related contacts, i.e. home visits, F2F, referrals)
  • Reports - RP01 (As needed)
  • Profile - PA02 (Optional)

*Assessments should be completed based upon FCM program expectations outlined in the Policy & Procedure Manual.