Consider the Complex Care Management (CCM) program for your HMSA patients, who have complex health conditions, who are the “sickest of the sick“ which may also include: multiple comorbidities, uncontrolled chronic conditions, socio-economic issues, DME need or assistance with placement. The HMSA CCM nurses (RNs) can conduct in home health assessments, coordinate care and provide patient POC (plan of care) updates to you on a regular basis.
You may refer patients with this form.
For more details, call 808-440-7057.