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