MIHP Contact Log

Instructions

MIHP Contact Log

(01/01/17)

These instructions are intended to clarify data fields that users have asked about in the past and to provide definitions for other fields to ensure that all users are interpreting them in the same way. If you have any questions about these instructions or think further written instructions are needed, please contact your MIHP State Consultant.

A contact log is required in every MIHP chart opened as of October 1, 2014. You may use the MIHP Contact Log or design your own form. The MIHP Contact Log is a very basic form. It provides spaces for the date, notes, and the initials of the professional or administrative staff person making an entry.

Entries Required on Contact Log

You are required to use the Contact Log to document:

Attempts to contact the beneficiary (e.g., phone, text, email, letter, note on door, etc.) if there’s a gap in service between professional visits and from the last MIHP billable service to discharge. However, you are not required to log routine contacts, such as calling the beneficiary to confirm an upcoming appointment or to ask for directions to the beneficiary’s home.

Reason why the beneficiary has not been seen whenever there is a one-month gap in service.

The specific purpose that an infant case is being kept open after four consecutive months of inactivity.

Entries Required on Contact Log or MIHP Professional Visit Progress Note

You are required to use the Contact Log or Professional Visit Progress Note to document:

The reason why you added a risk domain to the POC 2, based on the risk criteria listed in Column 2 of the POC 2.

The reason why you changed the risk level for a particular domain, based on the risk criteria listed in Column 2 of the POC 2.

Interventions provided at the Risk Identifier visit.

Reason why a particular POC 2 risk domain is not addressed.

A verbal order taken from a medical care provider over the phone.

A referral you make when talking with the beneficiary over the telephone.

Entries Required on Contact Log, Prenatal or Infant Care Communication Form, or Written Message to Medical Care Provider

Phone discussion notifying the medical care provider that beneficiary has transferred to your MIHP.

Using the Contact Log for Other Purposes (Not Required)

You are encouraged to use the log for other purposes as well. For example, you may use it to document:

Contacts with other service providers on behalf of the beneficiary.

Contacts among team members.

Decisions made among team members.

Any other information that would be useful for team members to have.