Your Reimbursement Workflow
This article provides a step-by-step guide for contracted providers with NWF on how to deliver services and manage reimbursements through the platform.
You can also watch the video demonstration below or use the link at the bottom of the page to download a printable workflow guide.
Receiving a New Referral Notification
You will not see a referral to your organization until it has been fully authorized by the Care Management Organizations (CMOs) working with NWF.
Once a referral has been authorized, you will receive an email notification if you have added your email to the contact settings for your program card.
You can use the link inside the email to go directly to your inbound referral dashboard on the NWF Health Connects platform.
You can also get there by going directly to nwfhealthconnects, signing in, and clicking on My Program Tools and then Inbound Referral Dashboard.
Reimbursement Workflow
Step 1: Viewing the Screener
The first step in your workflow is to review the screener that the case manager submitted with the referral. Here’s how to do it:
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On your dashboard, find the referral you want to review.
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Click the "View" button located in the screener column.
Once you're viewing the screener, you can:
- Print the form by clicking the "Print Form" button.
- See the FSFN Case ID, which is part of the Florida Safe Families Network system.
- Review the seeker's information.
- Check which service has been authorized, including the quantity and frequency of the service.
- See if the service is court-ordered.
- See if the referral is time-sensitive. If it says "Yes," it means the service needs to be provided within 24 to 96 hours.
Step 2: Reaching Out to the Seeker
After you've reviewed the screener to see which service you are providing, use the contact information on the dashboard to reach out to the seeker. To find this information, simply click on the applicant's name on your dashboard. This will open their seeker profile, where you can find their personal information and begin providing your service or resource.
💡These referrals have been approved by the care management organization. That means the service can be reimbursed through the platform so you can reach out immediately to start providing it!
Depending on the service type and frequency you select in the screener, you might offer multiple services to a seeker in a single month.
Step 3: Update the Referral Status
Once you have provided the service or resource, you can use the status drop down in the inbound referral dashboard to select “Got Help”.
You can use the other statuses to communicate where this referral is at. To see what they mean, review the Referral Status support article.
Step 4: Submit Reimbursements for Services Provided
Once you have provided a service, navigate to the referral in the inbound referral dashboard and click on the services button.
You will submit this for each individual service you provide that is tied to what was authorized in the referral screener.