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To Apply: Download and print the REM Intake Referral Form. Review eligibility criteria. Meet with your physician. The REM application must be completed and signed by the referring physician and include proper medical documentation supportive of the qualifying diagnosis. Submit completed form and all supporting clinical information to the:
The Rare and Expensive Case Management (REM) program provides medical case management and other services for eligible individuals with specific medical conditions. This is a voluntary program. You will have an REM case manager who will help you make a plan of care and to find the services you need. Your services must be medically necessary ...
This section will require specific information pertaining to each REM diagnosis. The history and physical sections should be completed. Please refer to the guidelines listed on the REM disease list for the recommended medical documentation for each REM eligible diagnosis. Please contact the REM Intake Unit at 1-800-565-8190 if you have any ...
The purpose of the REM Program is to ensure that recipients with rare diagnoses have access to high quality, medially appropriate health care services in a cost effective setting outside of a managed care organization. Medical Criteria for REM. Must have specific ICD10 code diagnosis.
5 sty 2024 · The Rare and Expensive Case Management (REM) Program is a case managed fee for service alternative to HealthChoice Managed Care Organization (MCO) participation for recipients with specified rare and expensive conditions.
To apply, download and print the REM Intake Referral Form and then meet with your physician. The REM application must be completed and signed by the referring physician and include proper medical documentation supportive of the qualifying diagnosis. You can then submit the completed form and all supporting clinical information by mail.
WO-331: REM Emergency Enhancements. 1. Update REM Client Summary Report to Ensure Diagnosis Info Pulls from Active and Approved REM Intake Form. Description: The REM Client Summary Report, report type “Active REM Clients with REM Diagnosis Expiration Between (date to date)” should pull the REM Qualifying Diagnosis from the most recent ...
