NY Manual
SHP Manual

SHP Provider Manual
8.1 Senior Health Partners /Provider Partnership

8.2 Instructions for Providers to Make Referrals

  A referral to Senior Health Partners is a phone call away: 

·         Call Intake Team at 1-212-360-0067 or 1-866-585-9280
·         Fax Senior Health Partners’ Referral Form to: 1-212-360-1121 
·         Email Senior Health Partners’ Referral Form to: Referrals@Healthfirst.org
 Upon referral, the intake assessment begins.  

Relationship Coordinator

·         Contacts client within 24–48 business hours to schedule a home visit
·         Schedules home visit appointments for the Enrollment Specialists and Assessment Nurses

Enrollment Medicaid Specialist

·         Conducts home visit, with significant other present
·         Explains covered and coordinated services, answers all questions
·         Obtains client authorization for a nurse assessment
·         Refers client in need of new Medicaid to the Enrollment Medicaid Specialist Team

·         Completes/submits new Medicaid application for client

·         Completes recertification application, as needed

Assessment Nurses

·         Conduct a functional, performance, environmental, and cognitive assessment
·         Prepare an initial plan of care with client/family input
·         Communicate/confirm with Primary Care Provider (medications, diagnosis, and recommended plan of care), as needed
·         Obtain client voluntarily signed Enrollment Agreement Attestation

Marketing

·         Communicate the outcome to referring source