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SMI Overview & BH Referrals

Across
P in CPR
QNXT tab where you can find claims from an SMI clinic
A in ACT
An evaluation completed to get reconnected to services if the member has not received BH services in more than a year
SMI Evaluation
R in CRN
Members who are 18 and older
A member who no longer wants to be SMI
E in EOC
ATC for Routine BH referrals
A in ATC
T in COT
ALTCS Liaison
Down
SMI Determination
A member can be evaluated for SMI every ____ months
A type of decertification when the member has not received services in 2 or more years
BH Referral wherein the member (child) is inpatient
Members who are under 18 years old
QNXT tab that shows member's SMI clinic. This is the primary source for member's SMI clinic
Outpatient BH Referral
The member has ___ days from the date of SMI determination to appeal the decision
Mercy Care department who assigns SMI clinics to SMI members
O in COE
Supportive team for high needs members
QNXT tab where site assignment is documented or if it is on hold for elig. documentation
Amount of days CRN needs to make a determination