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8

National Standards of Practice for Case Management

STANDARDS OF PRACTICE

Initial contact by

Client, Provider or

Payer

Risk Stratification

(risk assessment)

Check eligibility

Educate & refer

Client consent

(rights &

responsibilities)

Accept Client

Gather

essential

information

Allocate case

Standard One – Case Identification (screening) Phase

Yes

No

No

Diagram 2

Note: Where a reference is made to a Client this may also refer to the Client Representative

Case

Identification

(screening)

Assessing

Planning

Implementing

(care

coordination)

Monitoring

Transitioning

(transitional

care)

Disengagement

and Feedback

Evaluating

Stratifying Risk

(risk assessment)

Standard One

Case Identification (screening) and Assessment

Standard Two

Planning

Standard Three Monitoring

Standard Four

Evaluation and Outcomes

Diagram 1

Case Management Process