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(CHNCT) Shared Care Coordination Plan, developed under the Connecticut Department of Public Health Medical Home Initiative for Children and Youth with Special Health Care Needs (CYSHCN). It provides a structured framework for tracking funding sources, case management status, and key care coordinator contacts for patients. The template includes designated sections for CHNCT Intensive Care Management, Title V Medical Home Initiative eligibility, insurance details, and support from various community agencies including school districts, Birth to Three services, the Social Security Administration, and the Department of Developmental Services. Designed for clinical and administrative efficiency, it ensures comprehensive documentation of care team members and external stakeholders to facilitate coordinated, multi-agency support for eligible children and their families within the state of Connecticut.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/community-health-network-of-connecticut-shared-care-coordination-plan-template/357352/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/community-health-network-of-connecticut-shared-care-coordination-plan-template/357352.png","ImageObject",442,249,{"name":88,"@type":89},"Alex Sinclair","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-08","2026-09-23",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the purpose of this document?","Question",{"text":108,"@type":109},"This document functions as a template for a Shared Care Coordination Plan used by the Community Health Network of Connecticut to manage services for children and youth with special health care needs.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What key programs are covered in the funding information section?",{"text":113,"@type":109},"The document tracks participation in the CHNCT Intensive Care Management (ICM) program and the Connecticut Department of Public Health Title V Medical Home Initiative (CMHI).",{"name":115,"@type":106,"acceptedAnswer":116},"Which external agencies can be documented in this plan?",{"text":117,"@type":109},"The template includes space to record contact information for school districts, Birth to Three services, the Social Security Administration, and the CT Department of Developmental Services.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},357352,1791485833,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":135,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","CT DEPARTMENT OF PUBLIC HEALTH MEDICAL HOME INITIATIVE for CYSHCN COMMUNITY HEALTH NETWORK OF CT, INC. SHARED CARE COORDINATION PLAN  \n| Funding Information |  |  |  |\n| --- | --- | --- | --- |\n| CHNCT Intensive Care Management (ICM) |  |  |  |\n| Case Status: | | HUSKY ID\\#: |  |\n| ICM Care Manager: |  | Phone \\#: | Email: |\n| ICM Community Health Worker: |  | Phone \\#: | Email: |\n| Lead Coordinator: Yes No\u003Cbr>|  |  |  |\n| CT DPH Title V Medical Home Initiative (CMHI) for CYSHCN |  |  |  |\n| Title V Eligible: | Yes No\u003Cbr>|  | MAVEN ID\\#: |\n| CMHI Care Coordinator: |  | Phone \\#: | Email: |\n| CMHI Region: |  |  |  |\n| Lead Coordinator: Yes No\u003Cbr>|  |  |  |\n| Other Insurance |  |  |  |\n| Company: |  | Contact: |  |\n| Company: |  | Contact: |  |\n| Company: |  | Contact: |  |\n| Other Financial Donors: |  |  |  |\n| School District: |  | Contact: |  |\n| Birth to Three: |  | Contact: |  |\n| Social Security: |  | Contact: |  |\n| CT Department of Develpmental Services: |  | Contact: |  |\n| Donor: |  | Contact: |  |\n| Donor: |  | Contact: |  |","cbCaiqygY5RLlWb2","https://ap.wps.com/l/cbCaiqygY5RLlWb2","pdf",169994,7,"English","# Funding Information\n## CHNCT Intensive Care Management\n## CT DPH Title V Medical Home Initiative\n## Other Insurance and Financial Support\n## Community Support Agencies","[{\"question\":\"What is the purpose of this document?\",\"answer\":\"This document functions as a template for a Shared Care Coordination Plan used by the Community Health Network of Connecticut to manage services for children and youth with special health care needs.\"},{\"question\":\"What key programs are covered in the funding information section?\",\"answer\":\"The document tracks participation in the CHNCT Intensive Care Management (ICM) program and the Connecticut Department of Public Health Title V Medical Home Initiative (CMHI).\"},{\"question\":\"Which external agencies can be documented in this plan?\",\"answer\":\"The template includes space to record contact information for school districts, Birth to Three services, the Social Security Administration, and the CT Department of Developmental Services.\"}]","Community Health Network of Connecticut - Shared Care Coordination Plan Template | PDF",1790129706]