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Introducing CCA Acting Chief Medical Officer Dr. Nazlim Hagmann In this role, Dr Hagmann is responsible for planning and developing clinical strategies She will also identify, develop, and support the execution of initiatives that will help CCA provide its proven care model to members nationally
Care designed for you – Commonwealth Care Alliance As we continue to improve our processes, one thing will remain the same: we are committed to you As your partners in care, we’d like to say thank you We appreciate the opportunity to serve you and help you live healthy and well Sincerely, Dr Nazlim Hagmann CCA’s Chief Medical Officer
Commonwealth Care Alliance Awarded $150,000 Grant for Health Education . . . “Place-based services play a key role in implementing public health programming and interventions for older adults, many of whom experience mobility or transportation barriers,” explained Dr Nazlim Hagmann, Chief Medical Officer at CCA
Home Accessibility Adaptations Medical Necessity Guideline Home accessibility adaptations may also be covered for participants who qualify for Transitional Assistance Services when adaptations are appropriate and necessary for the participant's discharge from a nursing facility or hospital and safe transition to the community
Living Well At Home: Fall 2024 – Commonwealth Care Alliance Featured News A message from CCA’s Chief Medical Officer Dr Nazlim Hagmann discusses some upcoming changes that will improve the way we engage with you and coordinate your care
Determination-and-Documentation-of-Medical-Necessity-in-an-Inpatient . . . OVERVIEW: Inpatient rehabilitation hospitals and rehabilitation units of acute-care hospitals, collectively known as Inpatient Rehabilitation Facilities (IRFs), provide intensive rehabilitation therapy in a resource-intensive inpatient hospital environment for patients who, because of the complexity of their nursing, medical management, and rehabilitation needs, require and can reasonably be
Recovery Coach Medical Necessity Guideline Recovery Coaches (RCs) are individuals currently in recovery, who have personal experience with addiction and or co- occurring mental health disorders and have been trained to help their peers with similar experiences to gain hope, explore approaches to recovery, and achieve life goals Recovery Coaches are actively engaged in their own personal recovery and share real-world knowledge and
Eating Disorder Acute Residential Treatment Medical Necessity Guideline OVERVIEW: Eating Disorder Acute Residential Treatment programs are licensed residential facilities that provide short term 24-hour structured, community-based care, and are equipped to provide individualized, voluntary treatment The treatment is provided by appropriately licensed, paid staff who are not related to the individual being treated This level of care is used for members presenting
Excision of Excess Skin and Subcutaneous Tissue MNG 059 Prior Authorization Documentation: Requests for prior authorization for excision of excessive skin and subcutaneous tissue must be accompanied by clinical documentation that supports medical necessity The quality of documentation is a critical factor in determination of medical necessity In the absence of documentation supporting medical necessity, these procedures will be considered cosmetic