We guide you every step of the way to approval!
Phone Interview to Start Admission Process
To start the admission process a member of the intake team will call you to complete an application. The intake team member will be your main point of contact throughout the intake process and will be able to answer all your questions. The team member will ask for a picture of your photo IDs and will also help you sign a Release of Information for your primary care provider; you or your caregiver will need access to email.
Request Medical Documentation
Next, the intake team member will reach out to your primary care provider to gather baseline medical information (medication list, diagnosis list, and notes from recent office visits). Make sure if you have not had a physical in the last 12 months you call and schedule one with your PCP. While notes from specialists can be helpful, we need to get a copy of your last physical from your primary care provider.
In-Person Registered Nurse and Case Manage Assessment
Once intake has the notes from your primary care provider, the team member will schedule a home visit or tour at the adult day health center with a registered nurse and a case manager. The registered nurse will complete an assessment (the assessment is a conversation) during which they will confirm that you qualify for the program.
Submit Order to Client’s Primary Care Provider for Signature
Once the registered nurse completes the paperwork intake will send an order for this service to your primary care provider to sign. Intake cannot proceed until your PCP orders this service. Your primary care provider may require you to go into the office to complete a TB test based on your risk factors.
Submit to Local ASAP for Approval
If you have not interacted with the local Aging Services Access Point (for example: Old Colony Elder Services) you may be called by a registered nurse to request an assessment. This assessment is required to submit to Mass Health. This step is not required if you are a Senior Care Options member.
Submit to Insurance for Authorization
Then, intake will submit the registered nurse’s paperwork, primary care provider order, and ASAP approval to the insurance company for approval.
Start Date and Transportation Planned
Once intake receives authorization from the insurance company, you can start the program right away. The intake team member will call you to schedule a start date and confirm your transportation preferences.