Initial Screening Algorithm

AFTER 4 VISITS

ALGORITHM FOR DETERMINATION OF SERVICES AFTER 4 VISITS


 

Does client have clinic-eligible benefits successfully established (e.g. Medi-Cal)?

 

NO

ò

 

 

YES

ò

                             

 

Continue to next question

 

Determine services based upon clinic-eligible benefit (e.g., Medi-Cal) medical necessity criteria and stop.

Provide the service.

 
     

Has client/guardian completed clinic-center benefits assessment process?

 

NO

ò

 

 

YES

ò

                             

 

Continue to next question.

 

Refer to clinical  supervisor

 
     

Does client have clear cultural or linguistic needs that complicate the clinic-centered benefits eligibility assessment and application process?

 

YES

ò

 

 

NO

ò

                             

 

Refer to supervisor.

 

Complete clinic-centered benefits eligibility assessment & application process before delivery of any further clinical services beyond current clinic visit that are not incidental to benefits establishment.

Refer to supervisor and stop..