We’re excited to introduce several key enhancements designed to streamline your workflows, improve care coordination, and enhance overall efficiency. Below is a summary of updates most relevant to your role as a Case Manager.

1. New Calendar Integration

Overview:
A centralized calendar now allows you to view and manage both manual and system-generated events tied to your tasks and member milestones.

Key Features:

• Create events with title, description, time, and participant selection (members or team) from the ”+New” button in the calendar page
• View due-dated tasks and calendar events in a daily chronological layout.
• Automatically track key actions like HRA submission, Care Plan completion and Submission of Care Plans through the calendar events

2. Care Circle Tracking

Overview:
Track and manage each member’s formal and informal care team directly within the platform.

Key Features:

• Update the member’s care team (add relationship with an existing member or create a new member in the system to be added in your care team) via the “Member’s Care Circle” page in the Member Status form.
• This page also automatically captures guardians/conservators added during member intake.
• Visualize the entire care circle under a dedicated tab in Member 360 named as ”Care Circle”. You can add, remove or update the member’s  care circle from the view as well through the action button (Action >Edit).

3. Provider Circle Enhancements

Overview:
Improved tracking of provider details involved in member care.

Key Features:

• Update provider information via the “Member’s Providers” page in Member Status form.
• Also auto-captures provider data from Member Intake Form (MIF).
• Visualize all the providers under a dedicated tab in Member 360 named as ”Providers”. You can add, remove or update the member’s providers from the view as well through the action button (Action >Edit).

4. Clinical Review Workflow Enhancements

Overview:
Simplified claim creation and better coordination following clinical reviews.

Key Features:

• You will receive automated notifications upon review completion by the Clinical Reviewers for your specific members.
• Clinical Review sign-off triggers automatic Progress Notes Creation which when signed off by the reviewers leads to claim generation (Fee-for-Service).
• Configured to support HCPCS, modifiers, and time tracking.

5. ECM Eligibility Checklist

Overview:
Eligibility logic embedded into Outreach Forms to guide accurate enrollment decisions.

Key Features:

• Checklist within Outreach Form helps determine ECM eligibility qualification.
• System prompts status update if a member is ineligible. So, if you enroll a member initially and mark a member as not eligible, it will show you a prompt to change the status since the member can not be enrolled.
• Track eligibility via the “My Members’ Eligibilities” view. That will show you a list of members with Member’s names, status and eligibility statuses.

6. Task Page Improvements

Overview:
Enhanced task management interface for better tracking and accountability.

Key Features:

• Grid-style view for quick review of tasks in Member Status and Progress Notes.
• “My Tasks” section for editing your open items.
• Visibility into team tasks within the same member case under ”Other Pending Tasks”
• Separate view for completed tasks with under ”All Completed Tasks” panel.

7. Member 360 & UI Enhancements

Overview:
Improved design and layout for easier navigation.

Key Features:

• Visually separate tabs for quick access (Care Plans, HRA, Tasks, etc.).
• Clearer view names to reduce confusion.

8. Updated Categories and Descriptions for Notifications

Overview:

The notification system has been redesigned for better visual recognition and clarity. This change improves the speed at which users can process alerts and take appropriate action.

What’s Included:

• Visual Enhancements

Notification icons updated for better identification (e.g., task alerts, reminders).

• Improved Message Content

Descriptions rewritten to provide clear and concise information about the event.

We’re excited to introduce several key enhancements designed to streamline your workflows, improve care coordination, and enhance overall efficiency. Below is a summary of updates most relevant to your role as a Case Manager.

1. New Calendar Integration

Overview:
A centralized calendar now allows you to view and manage both manual and system-generated events tied to your tasks and member milestones.

Key Features:

Create events with title, description, time, and participant selection (members or team).

View due-dated tasks and calendar events in a daily chronological layout.

Automatically track key actions like HRA submission, Care Plan completion and Submission of Care Plans.

2. Care Circle Tracking

Overview:
Track and manage each member’s formal and informal care team directly within the platform.

Key Features:

Update the member’s care team (add relationship with an existing member or create a new member to be added in your care team) via the “Member’s Care Circle” page in the Member Status form.

This page automatically captures guardians/conservators added during member intake.

Visualize the entire care circle under a dedicated tab in Member 360.

3. Provider Circle Enhancements

Overview:
Improved tracking of provider details involved in member care.

Key Features:

Update provider information via the “Member’s Providers” page in Member Status.

Auto-capture provider data from Member Intake Form (MIF).

View and manage providers within the Member 360 “Providers” tab.

4. Clinical Review Workflow Enhancements

Overview:
Simplified claim creation and better coordination following clinical reviews.

Key Features:

Receive automated notifications upon review completion by the Clinical Reviewers for your specific members.

Clinical Review sign-off triggers automatic claim generation (Fee-for-Service).

Configured to support HCPCS, modifiers, and time tracking.

5. ECM Eligibility Checklist

Overview:
Eligibility logic embedded into Outreach Forms to guide accurate enrollment decisions.

Key Features:

Checklist within Outreach Form helps determine ECM qualification.

System prompts status update if a member is ineligible.

Track eligibility via the “My Members’ Eligibilities” view.

6. Task Page Improvements

Overview:
Enhanced task management interface for better tracking and accountability.

Key Features:

Grid-style view for quick review of tasks in Member Status and Progress Notes.

“My Tasks” section for editing your open items.

Visibility into team tasks within the same member case.

Separate view for completed tasks with timestamps.

7. Member 360 & UI Enhancements

Overview:
Improved design and layout for easier navigation.

Key Features:

Visually separate tabs for quick access (Care Plans, HRA, Tasks, etc.).

Clearer view names and notification descriptions to reduce confusion.

8. Updated Categories and Descriptions for Notifications

Overview:

The notification system has been redesigned for better visual recognition and clarity. This change improves the speed at which users can process alerts and take appropriate action.

What’s Included:

Visual Enhancements

Notification icons updated for better identification (e.g., task alerts, reminders).

Improved Message Content

Descriptions rewritten to provide clear and concise information about the event.

Test 123

Libertana ECM POC – Common Overview Guide  

📘 What Is This POC About? 

This Proof-of-Concept (POC) is a limited-time sandbox simulation of how Libertana staff can manage the Enhanced Care Management (ECM) member journey using Aztute’s platform. 

This POC demonstrates: 

• How different roles interact with the system 

• What steps occur in the ECM member lifecycle 

• How role-based access reduces confusion and guides users to only what they need 

• What functions are available in the platform and how to access them 

This guide should be reviewed first before accessing your role-specific user guide. 

👥 Key Roles in the ECM POC 

You will be granted access to only the tools relevant to your role, reducing errors and making onboarding easier. 

ACCESS AZTUTE SYSTEM 

🔐 Accessing Aztute – App & Command Center 

This standalone guide explains how to access both components of the Aztute platform: 

1. The App – where Case Managers and Supervisors manage care workflows 

2. The Command Center  (Browser App) – where administrative and program management tasks are performed 

🚀 Getting Started 

Before using Aztute, make sure you have: 

• Your assigned Username and Password 

• A device with Chrome, Edge, or a mobile browser 

• Access to either your work email or phone for two-factor authentication (2FA) 

🔐 2FA Note: In most cases, your 2FA is set up using your work email. However, your system administrator may have configured it to use your mobile phone instead—or both. Follow the login prompts accordingly. 

📱 Accessing the App (Mobile) 

The Aztute App is the care-facing interface used by Case Managers (CMs) and Supervising Case Managers (SCMs) to: 

• Conduct Outreach 

• Log Progress Notes 

• Conduct Basic Assessment 

• Communicate with your members and teams 

To access the app: 

1. Open your mobile browser or download the Aztute Public Health App from the App Store or Google Play 

2. Launch the app 

3. Enter your Username and Password 

4. Complete Two-Factor Authentication (2FA) if prompted 

> No need to select an organization – this step is preconfigured for Libertana users. 

 Click the link for Preview – Download the app

🖥️ Accessing the Command Center (Web) 

The Command Center is used by: 

• DEOs / Intake Coordinators to perform member intake (manual or bulk) 

• SCMs to assign Case Managers and monitor dashboards 

• CMs to do Outreach, HRAs, Care Plans, Progress Notes (Encounters) 

• Admins to manage claims, content, and configurations 

To access the Command Center: 

1. Open a desktop browser (Chrome or Edge recommended) 

2. Visit: https://app.aztute.com 

3. Click the Switch icon in the top right 

4. Type Libertana in the field and click Save 

5. Enter your Username and Password 

6. Complete 2FA as configured 

> You are only given access to tools that apply to your role. This reduces confusion and ensures you stay within your lane. 

If you are unsure which environment to use, refer to your Role-Based User Guide. 

For technical support, contact: support@aztute.com 

🧭 Member Journey Overview – Routine Tasks 

🔁 Ad Hoc / As-Needed Tasks 

🔄 Key Rules & Interdependencies 

❓ Frequently Asked Questions 

Q: Can I edit member demographic data?
Only Admins can make those changes. Others must flag issues via Support. 

Q: Who can assign or reassign Case Managers?
Only SCMs through the Command Center. 

Q: Can we do multiple HRAs or Care Plans?
Only one of each per member during the POC. Ongoing care is documented via Progress Notes. 

📌 Role-Based Quick Summary 

👩‍⚕️ Case Manager (CM) 

• Views assigned member via My Tasks 

• Completes Outreach + Enrollment 

• Completes HRA → sets status to In Progress 

• Submits Care Plan 

• Logs ongoing Progress Notes 

• Monitors care via Member 360 

👩‍💼 Supervising Case Manager (SCM) 

• Assigns & reassigns members via Command Center 

• Receives enrollment/decline notifications 

• Marks members Inactive if needed 

• Uses 360 View, Program Dashboards, CM Productivity Dashboard to monitor care delivery 

👩‍💻 DEO / Intake Coordinator 

• Creates member records using MIF or file upload from MCPs. 

• Ensures correct program, demographic, and contact info are entered 

🛠️ Admin (Billing / Content) 

• Manages claim oversight and confirms generation from outreach + progress notes 

• Handles content updates, user roles, and demographic corrections 

📊 Libertana ECM Member Journey 

🔁 Ad Hoc / As-Needed Activities 

Now that you understand the end-to-end process and where your role fits in: 

• Login to the Command or App. 

• Documentation is already available inside the solution. 

• Open your Role-Based User Guide for step-by-step instructions 

• Join the Day 1 Kickoff Session to get your login, ask questions, and test access 

• Use your sandbox access to perform real workflow tasks with test members 

• Support Tickets can be created with the system 

Welcome to the ECM POC — your role is critical to its success! 

 ____________________________________________________

Case Manager (CM) Guide  

👤 Role Overview 

As a Case Manager (CM), your role is to support members through their ECM journey by completing outreach, assessments, care planning, and regular follow-ups using Aztute’s App and Command Center. 

✔  Pre-Conditions 

Before starting, ensure that: 

• You have access to both App and Command Center 

• Your login and 2FA (via email or phone) are configured 

• Members have been assigned to you by the Supervising Case Manager (SCM) 

🔐 You will only see members and tools relevant to your role. 

🧭 Key Navigation Areas (App) 

🔁 Step-by-Step Workflow 

🔹 Step 1: Access Assigned Member 

• Log into: https://app.aztute.com 

• Go to Manage → My Tasks 

• Look for any new tasks.  

🔹 Step 2: Outreach 

You can start from Home or from Manage → My Outreach → NEW 

1. Indicate Outreach Attempt and Response: 

• Successful → Select Enrolled 

• Declined → Member refuses ECM services 

1. Save your submission 

✔  A claim is generated automatically if the outreach is successful.
✔  The SCM is notified whether the member enrolled or declined. 

🔹 Step 3: Health Risk Assessment (HRA) 

Once enrolled, a task and HRA form are created automatically. 

• Navigate to: Manage → My HRA 

• Select the Member → Actions → Edit  

• Click Start to change the HRA status to “In Progress” 

• Complete the following sections: 

• Member Health Conditions and History 

• Behavioral and Mental Health Needs 

• Housing and Living Situation 

• Social Determinants of Health 

• Support Network and Functional Needs 

• Risk Factors for Hospitalization or Institutionalization 

• Submit the HRA once finalized 

✔  HRA status updates to In Progress and unlocks Care Plan 

🔹 Step 4: Care Plan 

The Care Plan becomes available once HRA is marked In Progress. 

• Go to: Manage → My Care Plans 

• Select the member → Click Action → Edit 

• Fill out each tab: 

• Goals: Define measurable objectives for the member 

• Barriers: Document obstacles the member faces in achieving goals 

• Interventions: Describe planned actions (internal or external) to help the member 

• Target Dates: Assign dates for follow-up and review 

• Save the Care Plan and mark as Completed 

✔  Submitted Care Plans are visible to SCMs for monitoring and feedback 

🔹 Step 5: Progress Notes 

• Navigate to: Manage → My Progress Notes → NEW 

• Fill in the note with: 

• Contact Date 

• Reason for Visit / Interaction 

• Updates on Goals or Interventions 

• Any Referrals or Follow-Up Plans 

• Sign the note to finalize submission 

✔  The first monthly note triggers the PMPM claim
✔  Additional notes update the member file but do not generate new claims within the same month 

📊 Monitoring Member Journey 

• Go to: Manage → My Members Status 

• Use Action → Member 360 to: 

• Review status of Outreach, HRA, Care Plan 

• View all completed forms 

• Track activity and engagement over time 

🛠️ Tips for Success 

🔔 Notifications You Will Receive 

• Member assigned to you 

• Tasks due soon or overdue 

• Notes or Care Plans flagged by SCM 

🧠 Common Use Cases 

🔸 Outreach completed but HRA not visible? → Ensure Enrollment = Enrolled
🔸 HRA done but Care Plan isn’t opening? → Check HRA status = In Progress
🔸 Member info needs editing? → Flag it for Admin via SCM 

📅 What to Expect During POC 

• Use test members to walk through the full workflow 

• Participate in daily support check-ins 

• Share any feedback on usability, navigation, or bottlenecks 

 ______________________________________________________

Supervising Case Manager (SCM) Guide  

👤 Role: Supervising Case Manager (SCM) 

🎯 Objective: 

To oversee and support the full ECM member journey by managing member assignments, reviewing care progress, identifying gaps using dashboards, and guiding Case Managers. You do not complete direct care tasks but play a key role in ensuring timely, high-quality service delivery. 

✔  Pre-Conditions 

• You must have Command Center access with SCM permissions 

• Member intake must be completed by the DEO / Intake Coordinator 

• Case Managers must be active in the system with appropriate role access 

🧭 Key Areas of Access 

🔁 Assign a Member to a Case Manager 

1. Navigate to Manage → All Member Intake Sheets 

1. Filter by Program = ECM and find members not assigned to any CM (you can see the filters by clicking on the Advanced Filters button in the top right corner) 

1. Click Action → Edit on the member row 

1. In the intake form, confirm details are complete 

1. Go to Member Status tab → Select a Case Manager 

1. Click Complete to finalize the assignment 

✔  CM is notified and assigned the outreach task 

🔁 Reassign or Mark Member Inactive 

1. Navigate to Manage → All Member Status 

1. Filter/search for the member 

1. Use Action → Reassign CM or Mark Inactive 

✔  Reassignment creates a task for the new CM
✔  Inactive members are paused from workflows 

🔍 Monitor Member Progress 

📌 1. Member 360 View 

• Go to All Member Status → search for the desired member → Action → 360 View 

• See full history including: 

• Intake details 

• Outreach status 

• HRA status 

• Care Plan progress 

• Progress Notes 

• All assigned tasks and completed tasks 

✔  Use to prepare for case conferences or audits 

📌 2. Program Management Dashboard 

Go to Dashboard → Program Management for population-level monitoring: 

📌 3. Case Manager Productivity Dashboard 

Go to Dashboard → Case Manager Productivity: 

🔔 Notifications SCMs Receive 

• When a CM enrolls or declines a member after outreach 

• When a member is reassigned or marked inactive 

• Optional dashboard alerts (e.g., inactivity, overdue forms) 

🧠 Use Case Examples 

🛠️ SCM Best Practices 

 _____________________________________________________

DEO / Intake Coordinator Guide  

👤 Role: Data Entry Operator (DEO) / Intake Coordinator 

🎯 Objective: 

To intake new ECM members into the system using either manual entry (via Member Intake Form – MIF) or by uploading bulk files received from MCPs. DEOs play a critical foundational role in initializing the member journey. 

✔  Pre-Conditions 

• You must have Command Center access with DEO permissions 

• Member data must be available from: 

• A formatted Member Information File (MIF) from the MCP 

• Manual intake (walk-ins, referrals, phone interviews) 

🧭 Key Navigation Areas (in Command Center) 

🔁 Manual Member Intake (MIF) 

Step 1: Open the Intake Form 

• Navigate to Manage → Member Intake Sheets 

• Click + New Member or use Action → Edit to modify an existing entry 

Step 2: Enter Member Data 

Fill out the required fields: 

• Member CIN (unique ID) 

• First Name, Last Name 

• Date of Birth, Gender, Race, Ethnicity 

• Contact Info (Phone, Address) 

• Preferred Language (Spoken and Written) 

• Select Program = ECM from the dropdown 

✔  Click Save to complete. Member now appears in the system. 

Note: After creating a new member, you must refresh the view to see the new member reflected in the view. To do this, follow these steps: Click on ‘Advanced Filters’ in the top right corner → Click ‘Refresh’ in the expanded panel. 

🔁 Bulk Member Intake via File Upload 

Sample File is located here:  Anthem MIF File.xlsm 

(You can download the file and change the MCIN (first column, member name, etc.) 

Step 1: Navigate to Upload Screen 

• Go to Command Center → Data Management → Bulk Data Upload 

Step 2: Prepare the Excel File 

• Use the ECM-specific template from your team 

• Complete the required fields: 

• CIN (must be unique) – if a duplicate CIN is detected, the row will be ignored 

• Name, DOB, Gender, Contact Info 

• Program = ECM must be selected 

Step 3: Upload the File 

• Choose Type of Data = Members 

• Choose the Health Plan 

• Choose Health Program = ECM 

• Upload the file and click  ‘Upload’ 

✔  A success message will confirm the upload. Members will now appear in: 

• All Member Status 

• Member Intake Sheets 

🔍 Post-Intake Validation 

After successful intake: 

• ✔  Confirm each member shows Program = ECM in All Member Status 

• ✔  Review uploaded fields for completeness 

• ✔  Notify the Supervising Case Manager (SCM) to initiate assignment 

You may: 

• Use Action → Edit in Intake Sheets to make corrections 

• Flag duplicate or bad records to Admin for cleanup 

🛠️ Tips for DEO Success 

📌 Common Intake Errors to Avoid 

• ❗ Duplicate CIN – row will be skipped silently 

• ❗ Program not selected – member won’t be connected to ECM 

• ❗ Missing DOB or Contact Info – invalid entry 

• ❗ MIFs saved in wrong format (e.g., .csv) – upload will fail 

 _________________________________________________

🧾 DEO / Intake Coordinator Guide – Libertana ECM POC (Comprehensive) – v3 

 ______________________________________________________

👩‍⚕️ Case Manager (CM) Guide – Libertana ECM POC (Comprehensive) – v3 

👤 Role Overview 

As a Case Manager (CM), your role is to support members through their ECM journey by completing outreach, assessments, care planning, and regular follow-ups using Aztute’s App and Command Center. 

✅ Pre-Conditions 

Before starting, ensure that: 

• You have access to both App and Command Center 

• Your login and 2FA (via email or phone) are configured 

• Members have been assigned to you by the Supervising Case Manager (SCM) 

🔐 You will only see members and tools relevant to your role. 

🧭 Key Navigation Areas (App) 

🔁 Step-by-Step Workflow 

🔹 Step 1: Access Assigned Member 

• Log into: https://app.aztute.com 

• Go to Manage → My Tasks 

• Look for any new tasks. If assigned a new member, an Outreach task will appear. 

• Click the task to begin. 

🔹 Step 2: Outreach 

You can start from Home or from Manage → My Outreach → NEW 

1. Indicate Outreach Attempt and Response: 

• Successful → Select Enrolled 

• Declined → Member refuses ECM services 

1. Save your submission 

✅ A claim is generated automatically if the outreach is successful.
✅ The SCM is notified whether the member enrolled or declined. 

🔹 Step 3: Health Risk Assessment (HRA) 

Once enrolled, a task and HRA form are created automatically. 

• Navigate to: Manage → My HRA 

• Select the Member → Click to begin the assessment 

• Click Start to change the HRA status to “In Progress” 

• Complete the following sections: 

• Member Health Conditions and History 

• Behavioral and Mental Health Needs 

• Housing and Living Situation 

• Social Determinants of Health 

• Support Network and Functional Needs 

• Risk Factors for Hospitalization or Institutionalization 

• Submit the HRA once finalized 

✅ HRA status updates to In Progress and unlocks Care Plan 

🔹 Step 4: Care Plan 

The Care Plan becomes available once HRA is marked In Progress. 

• Go to: Manage → My Care Plans 

• Select the member → Click Action → Edit 

• Fill out each tab: 

• Goals: Define measurable objectives for the member 

• Barriers: Document obstacles the member faces in achieving goals 

• Interventions: Describe planned actions (internal or external) to help the member 

• Target Dates: Assign dates for follow-up and review 

• Save the Care Plan and mark as Completed 

✅ Submitted Care Plans are visible to SCMs for monitoring and feedback 

🔹 Step 5: Progress Notes 

• Navigate to: Manage → My Progress Notes → NEW 

• Fill in the note with: 

• Contact Date 

• Reason for Visit / Interaction 

• Updates on Goals or Interventions 

• Any Referrals or Follow-Up Plans 

• Sign the note to finalize submission 

✅ The first monthly note triggers the PMPM claim
✅ Additional notes update the member file but do not generate new claims within the same month 

📊 Monitoring Member Journey 

• Go to: Manage → My Members Status 

• Use Action → Member 360 to: 

• Review status of Outreach, HRA, Care Plan 

• View all completed forms 

• Track activity and engagement over time 

🛠️ Tips for Success 

🔔 Notifications You Will Receive 

• Member assigned to you 

• Tasks due soon or overdue 

• Notes or Care Plans flagged by SCM 

🧠 Common Use Cases 

🔸 Outreach completed but HRA not visible? → Ensure Enrollment = Enrolled
🔸 HRA done but Care Plan isn’t opening? → Check HRA status = In Progress
🔸 Member info needs editing? → Flag it for Admin via SCM 

📅 What to Expect During POC 

• Use test members to walk through the full workflow 

• Participate in daily support check-ins 

• Share any feedback on usability, navigation, or bottlenecks 

 ……………………………………………………………………………………………………………..

👩‍💼 Supervising Case Manager Guide – Libertana ECM POC

🔹 Role: Supervising Case Manager (SCM)

🎯 Objective:

To assign members to Case Managers, oversee outreach, HRA, and care plan completion, and use 360 View to monitor progress across the ECM journey during the POC.

✅ Pre-Setup Checklist

Before you begin:

• ✅ Ensure members have been uploaded by the Admin (visible in “All Member Status”)
• ✅ Case Managers are created and have correct roles assigned
• ✅ You can see the “Assign to Case Manager” option in your dashboard

🧭 Main Screens You Will Use

• All Member Status
• All HRAs
• All Care Plans
• Member 360 View
• My Tasks

You’ll find these on the left navigation panel after login.

🔁 Step-by-Step Workflow

🔹 Step 1: Assign a Member to a Case Manager

1. Go to All Member Status
2. Search for the member using their name, CIN, or filter by Program = ECM
3. On the right side of the row, click Action → Assign to Case Manager
4. A popup appears – choose the Case Manager from the dropdown
5. Click Assign

✅ Result:

• Member is now assigned
• Case Manager receives task + notification
• Assignment is reflected in the dashboard

🔹 Step 2: Monitor Outreach Completion

1. Return to All Member Status
2. Use filters:
   • Program = ECM
   • Outreach Status = Pending / Completed
3. Once outreach is done, status updates to Completed
4. Click Action → View Outreach to inspect the submitted details
5. Confirm whether outreach was marked Successful

✅ Successful outreach auto-triggers an HRA task for the Case Manager

🔹 Step 3: Track HRA Progress

1. Go to All HRAs
2. Filter by Program = ECM or Case Manager name
3. Find the HRA entry for your assigned member
4. Check the Status column:
   • “In Progress” means it has been started
   • “Completed” means it’s done
5. Click View or Edit to review

🧠 Tip: If it still says “Created,” follow up with the Case Manager

🔹 Step 4: Monitor Care Plan Completion

1. Open All Care Plans
2. Use filters to narrow by Status or Date
3. Click on a Care Plan entry to view:
   • Goals
   • Interventions
   • Dates
   • Status
4. You can also Download as PDF for offline tracking

✅ By the end of the POC, the Care Plan should be either In Progress or Completed

🔹 Step 5: Use Member 360 for Oversight

1. Go to All Member Status
2. Locate the member and click Action → 360 View
3. Review the full member journey:
   • Demographics & Intake
   • Outreach Records
   • HRA Form
   • Care Plan
   • Progress Notes
   • Task Timeline

This is your primary dashboard for supervision and status validation.

🛠️ Best Practices & Tips

• ✅ Use filters to quickly segment by assigned Case Manager or completion status
• ✅ Rely on 360 View for care coordination and quality checks
• ✅ Communicate directly with Case Managers for follow-ups
• ✘ Avoid making direct changes to member assessments or plans unless authorized
• ✅ Use My Tasks for escalations or internal reviews if configured

Healthcare can sometimes feel overwhelming, but learning how to navigate the system effectively empowers you to take charge of your well-being. Here are some key steps to help you along the way:

1. Scheduling and Managing Appointments

• Know how to book doctor visits and follow-up appointments.
• Keep a record of your past and upcoming visits.
• Arrive prepared with questions about your health concerns.

2. Communicating with Healthcare Providers

• Be open about your symptoms and medical history.
• Don’t hesitate to ask for explanations if something is unclear.
• Take notes during appointments or bring a family member for support.

3. Managing Medications and Treatments

• Understand the purpose and dosage of each medication.
• Set reminders to take medicines on time.
• Ask your doctor or pharmacist about possible side effects.

4. Utilizing Community Resources

• Find local programs that provide financial aid, transportation, or food support.
• Ask your CHW or healthcare provider about available assistance programs.
• Stay informed about free or low-cost health screenings.

5. Advocating for Your Health Needs

• Speak up about any concerns regarding your treatment or care.
• Request second opinions if needed.
• Know your rights as a patient and seek help when necessary.

6. Tracking Your Health Progress

• Keep a journal of symptoms, medications, and lifestyle changes.
• Set health goals and monitor improvements over time.
• Use health tracking apps or tools to stay organized.

Taking an active role in your healthcare journey ensures you receive the best possible care and support. Stay informed, ask questions, and seek resources to build confidence in managing your health!

Healthcare can sometimes feel overwhelming, but learning how to navigate the system effectively empowers you to take charge of your well-being. Here are some key steps to help you along the way:

1. Scheduling and Managing Appointments
Know how to book doctor visits and follow-up appointments.
Keep a record of your past and upcoming visits.
Arrive prepared with questions about your health concerns.
2. Communicating with Healthcare Providers
Be open about your symptoms and medical history.
Don’t hesitate to ask for explanations if something is unclear.
Take notes during appointments or bring a family member for support.
3. Managing Medications and Treatments
Understand the purpose and dosage of each medication.
Set reminders to take medicines on time.
Ask your doctor or pharmacist about possible side effects.
4. Utilizing Community Resources
Find local programs that provide financial aid, transportation, or food support.
Ask your CHW or healthcare provider about available assistance programs.
Stay informed about free or low-cost health screenings.
5. Advocating for Your Health Needs
Speak up about any concerns regarding your treatment or care.
Request second opinions if needed.
Know your rights as a patient and seek help when necessary.
6. Tracking Your Health Progress
Keep a journal of symptoms, medications, and lifestyle changes.
Set health goals and monitor improvements over time.
Use health tracking apps or tools to stay organized.
Taking an active role in your healthcare journey ensures you receive the best possible care and support. Stay informed, ask questions, and seek resources to build confidence in managing your health!

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hat is an asthma attack?

When you breathe normally, muscles around your airways are relaxed, letting air move easily and quietly. During an asthma attack, three things can happen:

• Bronchospasm: The muscles around the airways constrict (tighten). When they tighten, it makes your airways narrow. Air cannot flow freely through constricted airways.
• Inflammation: The lining of your airways becomes swollen. Swollen airways don’t let as much air in or out of your lungs.
• Mucus production: During the attack, your body creates more mucus. This thick mucus clogs airways.

When your airways get tighter, you make a sound calle

This is Test

Hello World

Hi this is for testing

Why is mental health important for overall health?
Mental and physical health are equally important components of overall health. For example, depression increases the risk for many types of physical health problems, particularly long-lasting conditions like diabetes, heart disease, and stroke. Similarly, the presence of chronic conditions can increase the risk for mental illness.2
Can your mental health change over time?
Yes, it’s important to remember that a person’s mental health can change over time, depending on many factors. When the demands placed on a person exceed their resources and coping abilities, their mental health could be impacted. For example, if someone is working long hours, caring for a relative, or experiencing economic hardship, they may experience poor mental health.

Asthma is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing, a whistling sound (wheezing) when you breathe out and shortness of breath.

For some people, asthma is a minor nuisance. For others, it can be a major problem that interferes with daily activities and may lead to a life-threatening asthma attack.

Asthma can’t be cured, but its symptoms can be controlled. Because asthma often changes over time, it’s important that you work with your doctor to track your signs and symptoms and adjust your treatment as needed.

Symptoms

Asthma symptoms vary from person to person. You may have infrequent asthma attacks, have symptoms only at certain times — such as when exercising — or have symptoms all the time.

Asthma signs and symptoms include:

• Shortness of breath

Asthma is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing, a whistling sound (wheezing) when you breathe out and shortness of breath.

For some people, asthma is a minor nuisance. For others, it can be a major problem that interferes with daily activities and may lead to a life-threatening asthma attack.

Asthma can’t be cured, but its symptoms can be controlled. Because asthma often changes over time, it’s important that you work with your doctor to track your signs and symptoms and adjust your treatment as needed.

Symptoms

Asthma symptoms vary from person to person. You may have infrequent asthma attacks, have symptoms only at certain times — such as when exercising — or have symptoms all the time.

Asthma signs and symptoms include:

• Shortness of breath
• Chest tightness or pain
• Wheezing when exhaling, which is a common sign of asthma in children
• Trouble sleeping caused by shortness of breath, coughing or wheezing
• Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu

Signs that your asthma is probably worsening include:

• Asthma signs and symptoms that are more frequent and bothersome
• Increasing difficulty breathing, as measured with a device used to check how well your lungs are working (peak flow meter)
• The need to use a quick-relief inhaler more often

For some people, asthma signs and symptoms flare up in certain situations:

• Exercise-induced asthma, which may be worse when the air is cold and dry
• Occupational asthma, triggered by workplace irritants such as chemical fumes, gases or dust
• Allergy-induced asthma, triggered by airborne substances, such as pollen, mold spores, cockroach waste, or particles of skin and dried saliva shed by pets (pet dander)

When to see a doctor

Seek emergency treatment

Severe asthma attacks can be life-threatening. Work with your doctor to determine what to do when your signs and symptoms worsen — and when you need emergency treatment. Signs of an asthma emergency include:

• Rapid worsening of shortness of breath or wheezing
• No improvement even after using a quick-relief inhaler
• Shortness of breath when you are doing minimal physical activity

Contact your doctor

See your doctor:

• If you think you have asthma. If you have frequent coughing or wheezing that lasts more than a few days or any other signs or symptoms of asthma, see your doctor. Treating asthma early may prevent long-term lung damage and help keep the condition from getting worse over time.
• To monitor your asthma after diagnosis. If you know you have asthma, work with your doctor to keep it under control. Good long-term control helps you feel better from day to day and can prevent a life-threatening asthma attack.
• If your asthma symptoms get worse. Contact your doctor right away if your medication doesn’t seem to ease your symptoms or if you need to use your quick-relief inhaler more often.

  Don’t take more medication than prescribed without consulting your doctor first. Overusing asthma medication can cause side effects and may make your asthma worse.

• To review your treatment. Asthma often changes over time. Meet with your doctor regularly to discuss your symptoms and make any needed treatment adjustments.

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Smog Alert Guidepost

GRO Community provides culturally relevant male counselors that are able to connect with the most challenging clients. Additionally, GRO Community takes an innovative approach to provide counseling to our clients. We take our time in building strong relationships with our clients to build strong therapeutic alliances.

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Welcome to GRO Community

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I am testing a GP

Hey, I am testing the guide post feature

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Traditional health insurance plans are typically accompanied by FSAs. A flexible spending account is a tax-deferred account to help pay for qualifying medical expenses. Employees can contribute funds up to the IRS annual maximum per year into the account tax-free.

Qualified medical expenses include prescriptions, copays, chiropractor visits, and other necessary healthcare expenses. When selecting the FSA option during benefits enrollment, the employee sets his or her annual contribution amount at that time. The amount is typically divided by the number of pay periods in a year, and that amount is withdrawn from each paycheck.

Employees are permitted to borrow against the amount they allotted to contribute to their FSA throughout the year. If employees do not use the funds deposited into their FSA for the plan year, the money is forfeited, which is commonly referred to as the “use it or lose it” aspect of an FSA.

Multipurpose Senior Services Program (MSSP)

Who We Are

California Health Collaborative’s Multipurpose Senior Services Program (MSSP) provides care coordination, case management, and advocacy services to older adults on Medi-Cal whose physical or cognitive limitations put them at risk of nursing home placement. MSSP care managers are registered nurses and social workers who assist participants with accessing the services they need to remain living safely in their homes. CHC’s MSSP is part of a statewide system funded through a Medicaid (Medi-Cal) waiver to delay or prevent nursing home placement for frail older adults by coordinating services in the home at a lower cost than a nursing home stay. MSSP’s funding and oversight is provided through the California Department of Aging.

Antimicrobial Resistance, Hypervirulent Klebsiella pneumoniae – Global situation

Situation at a glance

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For testing purpose

Many factors can interfere with a good night’s sleep — from work stress and family responsibilities to illnesses. It’s no wonder that quality sleep is sometimes elusive.

You might not be able to control the factors that interfere with your sleep. However, you can adopt habits that encourage better sleep. Start with these simple tips.

1. Stick to a sleep schedule
Set aside no more than eight hours for sleep. The recommended amount of sleep for a healthy adult is at least seven hours. Most people don’t need more than eight hours in bed to be well rested.

Go to bed and get up at the same time every day, including weekends. Being consistent reinforces your body’s sleep-wake cycle.

If you don’t fall asleep within about 20 minutes of going to bed, leave your bedroom and do something relaxing. Read or listen to soothing music. Go back to bed when you’re tired. Repeat as needed, but continue to maintain your sleep schedule and wake-up time.

2. Pay attention to what you eat and drink
Don’t go to bed hungry or stuffed. In particular, avoid heavy or large meals within a couple of hours of bedtime. Discomfort might keep you up.

Nicotine, caffeine and alcohol deserve caution, too. The stimulating effects of nicotine and caffeine take hours to wear off and can interfere with sleep. And even though alcohol might make you feel sleepy at first, it can disrupt sleep later in the night.

Pls click in the following link to book meeting with the client .

https://calendly.com/eoshogbunu/gro-community-post-intake-survey

Lok Sabha Elections 2024, Phase One: India begins voting for what is known to be the largest festival of democracy from 19 April. The Phase one polling will cover 102 constituencies spread across 21 states and Union Territories (UTs). The counting of votes will be held on June 4.

Further, Assembly elections to Arunachal Pradesh, and Sikkim will also be held on 19 April.

Voting will start at 7am and end at 6pm.

Catch Lok Sabha Poll Live Updates Here

In Phase One of Lok Sabha Elections 2024 on 19 April, constituencies of Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Mizoram, Nagaland, Rajasthan, Sikkim, Tamil Nadu, Tripura, Uttar Pradesh, Uttarakhand, West Bengal, Andaman and Nicobar Island, Jammu and Kashmir, Lakshadweep, and Puducherry will witness voting.

The Lok Sabha elections 2024 will be held in seven phases, with first on April 19, second on April 26, third on May 7, fourth on May 13, fifth on May 20, sixth on May 25 and seventh on June 1. The counting of votes will take place on June 4.

CEC Rajiv Kumar said that there are 96.88 crore voters this time, out of which 49.7 are male and 47.1 and female. He added that there are 1.89 crore first-time voters, including 85 lakh women.

Apart from this, there are 13.4 lakh advanced applicants (not 18 years yet) who will turn 18 by April.

Lok Sabha Elections 2024, Phase One: How to find your polling booth

Step 1: Log in to electoralsearch.eci.gov.in and navigate to Know your Polling Station and Officer

Step 2: Enter the Voter ID or EPIC number in the box.

Step 3: Fill in Captcha and enter

Step 4: You can see the details – including the name and phone number of the Booth Level Officer, Electoral Registration Officer, and District Election Officer.

Step 5: Details of the booth, assembly constituency, and parliamentary constituency are also present on the portal.

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Obesity should be cured.

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Enhanced Care Management is a benefit for Medi-Cal members. It comes from a new Medi-Cal program
called California Advancing and Innovating Medi-Cal, also called CalAIM. This benefit helps members
with complex needs coordinate their health care.

Since you qualify for ECM, we will be working to connect you with an ECM team from one of our qualified
contracted providers. This team includes a lead case manager. Your lead case manager will talk with
doctors, mental health providers, specialists, pharmacists, case managers, social services providers and
others. They will make sure everyone works together to get you the care you need. A lead care manager
can also help you find and apply for other services in the community.

An ECM lead care manager can help you:
• Find doctors.
• Schedule appointments for health-related services.
• Manage medications.
• Set up a ride to go to the doctor or pharmacy.
• Find and apply for community-based services that you need. These services include support with
housing or medically nutritious food.
• Set up follow-up care after the hospital.

Suggested Provider Script:
The Alliance (your managed care plan, Medi-cal provider) has determined you are eligible to receive
ECM services based on information they have on file from their internal database or information that
was shared with them regarding your current situation. In order for us to begin supporting you, we want
to take some time to review what the program is and what we can do to support in meeting your needs.

As the Alliance may have already mentioned to you, or if they have not, as an ECM provider we have a
team of people that will be working together to make sure you get the care you need. This is a process
that is approved for 6 months at a time. As an ECM provider our goal is to talk to your primary care
doctor, mental health providers, specialty doctors, pharmacists, case managers, social services providers
and others to coordinate care and work on helping you improve your overall health. We can also help
you find and apply for other services in the community if these are impacting your health and ability to
live safely. This is different from other case management services because we would be meeting with
you frequently and in-person. We will ask to meet with you in-person to provide you with the best
possible support and work on a meeting schedule that best fits your needs. As an ECM provider some of
the things we do will include:
• Finding doctor, if needed
• Scheduling appointments for health-related services.
• Managing medications- helping to make sure you have the medications you need
• Setting up a ride to go to the doctor or pharmacy.
• Finding and applying for community-based services that you need. These services can
include support with housing or medically nutritious food.
• Setting up follow-up care if you are admitted or go to the hospital

If you agree to receive these services we will assign you a lead case manager who will begin working
with you to develop a care plan. We will need to ask questions about your health history, social
situation, and ask you about goals and other services you need to be healthy. This will help us be in the
best position to support you and your needs. If you chose not to participate at this time, you can chose
to participate at any point and time again if you wish. You will just need to contact the Alliance or us so
we can process a new request.

If you have any questions about the process, including how you were approved, or during the process
you can call the Alliance anytime at 800-700-3874 or (provider info).

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Welcome to the Enhanced Care Management

Support Ticket Window

Please contact Matthew Cochran here

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Please contact Matthew Cochran at mcochran@healthcollaborative.org

Notice for Case Managers

Smog Alert!

Test Test Test Test Test Test Test Test

Home-based services are available, please call or text

123-234-5678

Phone: 123.123.1234 (collect calls accepted)
Website: www.countyofnewspring.test
Mailing Address: 270 County Hospital Rd., Ste. 19, New Spring, AZTUTE 83864
Street Address: Same
Days/Hours: Office: Monday through Friday, 8:00 a.m. to 5:00 p.m.; Emergency: 24 hours
a day, 7 days a week.

Services: Mental health provides a full range of outpatient services to all residents of New Spring County. Crisis services are available through our agency or by contacting the Crisis Line. Emergency hospitalizations and evaluations were provided. Services for adults and children range from consultation, assessment, referral, and medication to individual, group, marital and family therapy. Services are available in Aztute and New Spring by appointment.

Persons Served: All residents
Area Served: New Spring
Fees: Sliding scale, Medi-Cal accepted

Referral to New Spring County Mental Health Services

Phone: 123.123.1234 (collect calls accepted)
Website: www.countyofnewspring.test
Mailing Address: 270 County Hospital Rd., Ste. 19, New Spring, AZTUTE 83864
Street Address: Same
Days/Hours: Office: Monday through Friday, 8:00 a.m. to 5:00 p.m.; Emergency: 24 hours
a day, 7 days a week.

Services: Mental health provides a full range of out-patient services to all residents of Plumas County. Crisis services are available through our agency or by contacting the Crisis Line. Emergency hospitalizations and evaluations provided. Services for adults and children range from consultation, assessment, referral, and medication to individual, group, marital and family therapy. Services are available in Portola and Chester by appointment.

Persons Served: All residents
Area Served: New Spring
Fees: Sliding scale, Medi-Cal accepted

Thank you for participating in Youth Survey and sharing this information with us, this information will be kept confidential.

Myocarditis, or inflammation that affects your heart muscle (myocardium).
Myocarditis is inflammation of your heart muscle (myocardium).
What is myocarditis?

What does myocarditis feel like?
People with myocarditis often feel fatigued, short of breath, chest pain or the sensation of their heart racing (palpitations). They may feel these symptoms gradually over time, or their symptoms may happen very quickly. People with myocarditis in more advanced stages may show symptoms of heart failure.

How common is myocarditis?
Researchers estimate there are about 1.5 million cases of myocarditis in the world each year. This works out to 10 to 20 people affected out of every 100,000 people.

This update is from Plumas County.

Promote childhood immunization in your community or among your members with our resource

Promote childhood immunization in your community or among your members. Call us for help.

 As Respiratory Syncytial Virus (RSV), the flu and COVID-19 continue to impact Californians earlier than usual this year, state Epidemiologist Dr. Erica Pan urges everyone across the state to protect themselves and their families against many circulating viruses.

Plumas Dental Providers

Plumas District Hospital Dental Clinic

Dr. Mario Garibotti

Insurance: Medi-Cal & Private

530-283-3915

1060 Bucks Lake Road, Quincy, CA 95971

Lost Sierra Dental

Dr. Michael Herndon / Dr. Emily Luscri

Insurance: Private

530-283-1119

431 Main Street, Quincy, CA 95971

Home-based services are available, please call or text

530-927-8142

BANGKOK (AP) — Unusually high levels of smog worsened by weather patterns are raising alarm across Asia, with authorities in Thailand’s hazy capital Bangkok handing out face masks and preparing to seed clouds for rain to clear the air.

A combination of construction dust, auto exhaust and other pollutants, lingering over Bangkok due to prevailing weather patterns, has taken air quality to unhealthy levels in recent days.

“I admit these are temporary solutions but we have to do it. Other long term measures will also be implemented, Police Gen. Aswin Kwanmuang told a meeting of army, police, pollution control and other officials on Monday.

The city was handing out some 10,000 face masks, spraying water to help settle dust and tightening controls on when big trucks can use city streets — the Thai Pollution Control Department said that about half of the high levels of PM 2.5, tiny particulate matter that can dangerously clog lungs, was due to diesel engine emissions.

The Department of Royal Rainmaking and Agricultural Aviation said it was preparing to deploy two planes for cloud seeding on between Tuesday and Friday, if conditions are suitable.

In South Korea, unusually high PM 2.5 levels prompted emergency measures to reduce the health hazard. The country’s National Institute of Environ

More polio detected in New Spring County, data shows

State health officials said most adults do not need the polio vaccine or a booster because they were already fully vaccinated as children.

However, they have stressed the importance of getting vaccinated against or staying up to date with the immunization schedule. Among unvaccinated people, polio can lead to permanent paralysis in the arms and/or legs and even death.

The polio vaccine protects 99% of children who get all recommended doses from severe disease from poliovirus.

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You have a low ACE score. Enjoy this picture of a mountain.

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this is for testing gp

Phone: 530.283.6307 (collect calls accepted)
Website: www.countyofplumas.com
Mailing Address: 270 County Hospital Rd., Ste. 109, Quincy, CA 95971
Street Address: Same
Days/Hours: Office: Monday through Friday, 8:00 a.m. to 5:00 p.m.; Emergency: 24 hours
a day, 7 days a week.

Services: Mental health provides a full range of out-patient services to all residents of Plumas County. Crisis services are available through our agency or by contacting the Crisis Line. Emergency hospitalizations and evaluations provided. Services for adults and children range from consultation, assessment, referral, and medication to individual, group, marital and family therapy. Services are available in Portola and Chester by appointment.

Persons Served: All residents
Area Served: Plumas County
Fees: Sliding scale, Medi-Cal accepted

This is new gp

This is a test guidepost.

This is a Test GP

Most people who get infected with poliovirus will not have any visible symptoms.

About 1 out of 4 people (or 25 out of 100) with poliovirus infection will have flu-like symptoms that can include:

• Sore throat
• Fever
• Tiredness
• Nausea
• Headache
• Stomach pain

These symptoms usually last 2 to 5 days, then go away on their own.

A smaller proportion of people with poliovirus infection will develop other, more serious symptoms that affect the brain and spinal cord:

• Meningitis (infection of the covering of the spinal cord and/or brain)occurs in about 1–5 out of 100 people with poliovirus infection, depending on virus type
• Paralysis (can’t move parts of the body) or weakness in the arms, legs, or both occurs in about 1 out of 200 people to 1 in 2000 people, depending on virus type

Paralysis is the most severe symptom associated with poliovirus because it can lead to permanent disability and death. Between 2 and 10 out of 100 people who have paralysis from poliovirus infection die, because the virus affects the muscles that help them breathe.

Even children who seem to fully recover can develop new muscle pain, weakness, or paralysis as adults, 15 to 40 years later. This is called post-polio syndrome.

Note that “poliomyelitis” (or “polio” for short) is defined as the paralytic disease. So only people with the paralytic infection are considered to have the disease

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Phone: 530.283.6307 (collect calls accepted)
Website: www.countyofplumas.com
Mailing Address: 270 County Hospital Rd., Ste. 109, Quincy, CA 95971
Street Address: Same
Days/Hours: Office: Monday through Friday, 8:00 a.m. to 5:00 p.m.; Emergency: 24 hours
a day, 7 days a week.

Services: Mental health provides a full range of out-patient services to all residents of Plumas County. Crisis services are available through our agency or by contacting the Crisis Line. Emergency hospitalizations and evaluations provided. Services for adults and children range from consultation, assessment, referral, and medication to individual, group, marital and family therapy. Services are available in Portola and Chester by appointment.

Persons Served: All residents
Area Served: Plumas County
Fees: Sliding scale, Medi-Cal accepted