PAE Cert Form TN PAE Certification Form Group 3 and Group 2G FOC Alternate Primary Address F2F Other HCBS benefits Hand Off of Cases SOP ICC ICC OCC MCM Approval MOPD Thirty Transition Unit TF All Initial NF Visit Requirements Cancel Services Assignment PYC Actual Date of Transition PASRR Outcome CD Withdrawal Form Request to Transition Between CHOCES Groups (TF) Email all forms OCC LOC Manager Level 2 Placement OCC PAE Transition Review Worksheet Alternate Mailing Address Ten CIC Assignment True False Unsuccessful NF Visit STS TN Facility Comprehensive Visit Assessment choices_ transitions @uhc.com Two Orders for admission Assignment in ICUE PAE Cert Form TN PAE Certification Form Group 3 and Group 2G FOC Alternate Primary Address F2F Other HCBS benefits Hand Off of Cases SOP ICC ICC OCC MCM Approval MOPD Thirty Transition Unit TF All Initial NF Visit Requirements Cancel Services Assignment PYC Actual Date of Transition PASRR Outcome CD Withdrawal Form Request to Transition Between CHOCES Groups (TF) Email all forms OCC LOC Manager Level 2 Placement OCC PAE Transition Review Worksheet Alternate Mailing Address Ten CIC Assignment True False Unsuccessful NF Visit STS TN Facility Comprehensive Visit Assessment choices_ transitions @uhc.com Two Orders for admission Assignment in ICUE
(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
PAE Cert Form
TN PAE Certification Form
Group 3 and
Group 2G
FOC
Alternate Primary Address
F2F
Other HCBS benefits
Hand Off of Cases SOP
ICC
ICC
OCC
MCM Approval
MOPD
Thirty
Transition Unit
TF
All Initial NF Visit Requirements
Cancel Services Assignment
PYC
Actual Date of Transition
PASRR Outcome
CD Withdrawal Form
Request to Transition Between CHOCES Groups (TF)
Email all forms
OCC
LOC
Manager
Level 2
Placement
OCC
PAE Transition Review Worksheet
Alternate Mailing Address
Ten
CIC Assignment
True
False
Unsuccessful NF Visit
STS
TN Facility Comprehensive Visit Assessment
choices_ transitions @uhc.com
Two
Orders for admission
Assignment in ICUE