Diversion Activity Report Form – For all members considering a higher level of care (ICF-IDD, not operated by the State, State Developmental Center, State Psychiatric Hospital, PRFT, Residential Treatment Levels II/Program Type, III and IV, Adult Care Home).
In-Reach Activity Report Form – For members in an institutional setting (ICF-IDD, not operated by the State, State Developmental Center, State Psychiatric Hospital, PRFT, Residential Treatment Levels II/Program Type, III and IV, Adult Care Home) and are supported to change their level of care (successful or not).
Transition Activity Report Form – For members residing in one of the following settings (ICF-IDD, not operated by the State, State Developmental Center, State Psychiatric Hospital, PRFT, Residential Treatment Levels II/Program Type, III and IV, Adult Care Home) and are transitioned using the transition planning process.
Providers Innovations Termination Notification Form – For providers reporting an Innovations termination to Partners Health Management.