Assignment in ICUE Ten Alternate Primary Address STS CD Withdrawal Form Actual Date of Transition Two All Initial NF Visit Requirements ICC Email all forms Hand Off of Cases SOP True Placement OCC Level 2 MOPD Alternate Mailing Address CIC Assignment PYC Other HCBS benefits Cancel Services Assignment OCC Transition Unit ICC LOC TF Request to Transition Between CHOCES Groups (TF) PASRR Outcome Orders for admission TN PAE Certification Form False F2F Unsuccessful NF Visit choices_ transitions @uhc.com MCM Approval PAE Transition Review Worksheet Thirty TN Facility Comprehensive Visit Assessment Manager Group 3 and Group 2G OCC FOC PAE Cert Form Assignment in ICUE Ten Alternate Primary Address STS CD Withdrawal Form Actual Date of Transition Two All Initial NF Visit Requirements ICC Email all forms Hand Off of Cases SOP True Placement OCC Level 2 MOPD Alternate Mailing Address CIC Assignment PYC Other HCBS benefits Cancel Services Assignment OCC Transition Unit ICC LOC TF Request to Transition Between CHOCES Groups (TF) PASRR Outcome Orders for admission TN PAE Certification Form False F2F Unsuccessful NF Visit choices_ transitions @uhc.com MCM Approval PAE Transition Review Worksheet Thirty TN Facility Comprehensive Visit Assessment Manager Group 3 and Group 2G OCC FOC PAE Cert Form
(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.
Assignment in ICUE
Ten
Alternate Primary Address
STS
CD Withdrawal Form
Actual Date of Transition
Two
All Initial NF Visit Requirements
ICC
Email all forms
Hand Off of Cases SOP
True
Placement
OCC
Level 2
MOPD
Alternate Mailing Address
CIC Assignment
PYC
Other HCBS benefits
Cancel Services Assignment
OCC
Transition Unit
ICC
LOC
TF
Request to Transition Between CHOCES Groups (TF)
PASRR Outcome
Orders for admission
TN PAE Certification Form
False
F2F
Unsuccessful NF Visit
choices_ transitions @uhc.com
MCM Approval
PAE Transition Review Worksheet
Thirty
TN Facility Comprehensive Visit Assessment
Manager
Group 3 and
Group 2G
OCC
FOC
PAE Cert Form