AFC Workflow | TopAid Healthcare

AFC Member Lifecycle - Main Process

Start

1. Referral Intake

Input: Referral Form

Output: Member Record

Owner: Office Staff

Reviewer: Care Manager

2. Pre-Admission

Input: Home Assessment

Output: Eligibility Decision

Owner: RN + CM

Reviewer: Physician

3. Prior Authorization

Input: PA Request

Output: PA Approval

Owner: Office Staff

Reviewer: MCO/MassHealth

4. Admission

Input: Consent Forms

Output: Initial Care Plan

Owner: RN

Reviewer: Member/Caregiver

5. Ongoing Care

Input: Daily Logs

Output: Progress Notes

Owner: Caregiver

Reviewer: RN/CM

6. Reassessment

Input: Care Plan Review

Output: Updated Care Plan

Owner: RN

Reviewer: Physician

7. Incidents

Input: Incident Report

Output: Resolution

Owner: Caregiver/RN

Reviewer: Admin

8. Discharge

Input: Discharge Request

Output: Discharge Summary

Owner: CM

Reviewer: RN

End

Phase Legend (click any step to see sub-workflow)

1. Referral

2. Pre-Admission

3. Prior Auth

4. Admission

5. Ongoing Care

6. Reassessment

7. Incidents

8. Discharge