Placements

When you offer a Member for Placement, you refer them to a Provider to receive services. A Placement is an offer for service because the Provider decides whether to take the Member’s case.

Placements include an overview of the Member’s service requirements, such as the type of Caregiver as well as the frequency and duration of services. Based on these details, the Provider determines whether to accept or deny the Placement.

Add a New Placement

To offer a Placement, complete the following steps.

Step

Action

1

At the top right of the Provider Info page (Member, Search, search for and select a Member, Provider Info), click Add Placement.

2

On the Placement Information page, some data is pre-populated with the member’s information. Complete the remaining information in the Placement Information section as follows.

  • Placement Type - (Required) Whether the Placement is for Home Health or Non-Home Health.

  • Acceptance Window (min) - (Required) The amount of time given to a Provider to accept or deny the Placement. By default, the acceptance window is set to 30 minutes.

Note: You can change the allotted time on a per-case basis or set another default value on the Payer Profile page.

  • Service Start Date - (Required) Enter the date to start providing services.

  • Coordinator - Select the Payer Coordinator responsible for managing the Member’s case. Note that the Provider assigns their own Coordinator once Placement is accepted.

  • Discharge Date - Specify the date the Member will be discharged from the Provider’s care.

Placement Information section on the Add Placement page

Placement Information section in the Add Placement Window

3

In the Authorization section, select an existing Authorization to use—or complete one here with the instructions found in the Authorizations topic. Alternately, select Send Placement without Authorization.

4

Under Providers for Placement Request, click Add Providers.

Providers for Placement Request page with Add Providers button highlighted

Adding a Provider

In the dialog box that appears, use the filters to search for a Provider.

Add Proivders for Placement Request page with blurred data

Add Providers for Placement Request page

Providers can also be selected by Provider Serviced Zip Code. Also, the Member’s ZIP Code can be used to add Providers by selecting the Use member’s ZIP code checkbox (selected by default) to populate Provider Serviced Zip Code with the Member’s ZIP code.

5

In the list of Providers that is displayed, select a Provider, and click Add.

Note: If you select multiple providers, the first Provider to accept the Placement receives the Member’s case. A multiple provider request is called a Broadcast. When the list of eligible Providers for a Placement Request is 500 Providers or fewer, the ability to “Select and add all” Providers is available.

6

(Optional) If a single Provider has agreed to accept the case or is already servicing the member, select the Confirmed checkbox. Once received, the Placement is automatically accepted.

7

Click Add Placement to finish adding a Placement.