{"history": [{"sno": "new", "year": "2025", "answer": [{"options": {"value": "Tyler J Bois", "optionId": "u4v"}, "questionId": "K-lowx"}, {"options": {"value": "NH013087800", "optionId": "vvv"}, "questionId": "B-lowx"}, {"options": {"value": "2005-12-07", "optionId": "tdb"}, "questionId": "M-iz6p"}, {"options": {"value": "2025-07-28T18:36"}, "questionId": "W-iz6p"}, {"options": {"value": "6038289263", "optionId": "uphno"}, "questionId": "U-Phno"}, {"options": {"value": "c.hembrick@focuscares.com", "optionId": "b4v"}, "questionId": "Q-lowx"}, {"options": {"value": "Focus Care", "optionId": "p4v"}, "questionId": "X-lowx"}, {"options": {"value": "Candace Hembrick ", "optionId": "q4v"}, "questionId": "N-lowx"}, {"options": {"value": "Yes", "optionId": "su8"}, "questionId": "Q-jtcz"}, {"options": {"value": "No", "optionId": "l6B"}, "questionId": "A-que"}, {"options": {"value": "No", "optionId": "l6D"}, "questionId": "B-que"}, {"options": {"value": " Referral:<br>- Needs Pharmacy - unable to get his medications currently.  Initially his medications were being filled at Rite Aid - Member is supposed to be taking Pantoprazole but the pharmacy (Rite Aid) closed and he was told that his prescriptions were sent over to Osco, Carmark, CVS, and even Walgreens.  When he went to these locations he found out that none of these locations accept his insurance.  In the mean time he has been taking Prilosec because he is not able to get his prescription filled because he is not sure who accepts his insurance and needs a reliable pharmacy. <br>- Needs PT/OT evaluation - contractures, in bilateral lower extremities especially.  Member is supposed to start strength training but is having difficulty.  <br>- Transportation disparities - member does not have reliable transportation to get to and from school (he is starting college next week) and as well as to his appointments.  <br>- Mental health therapy/ ADHD/ADD/Autism - Evaluation - Member's mother states that she will contact his psychiatrist and see if she will be able to perform his evaluation for ADHD & ADD.  There is a positive correlation with children born with spina bifida and increased prevalence of ADD/ADHD & Autism.  This can sometimes look like increased anxiety and depression so the individual will be treated for this instead of the ADD & ADHD.  Member needs someone to speak with such as a therapist or counselor to assist with his anxiety and depression as well.  Member has an elevated PHQ9 of 18 and may need a revamp of medications as well as therapy session in addition to currently regimen.  <br>- Waivers - his mother was filled in the LTC application for assistance with hiring an aid for the member.  His mother stated that they were told that they did get approval but no one has assisted her with any follow up since.  She has been calling but no one has assisted her. <br>- Sleep Apnea re-evaluated - Member was diagnosed with sleep apnea and went to get evaluated for a BiPAP.  The member stated that he was not able to get through the visit because the mask covered his whole face and was very uncomfortable.  He needs to have another evaluation performed with attempts of using a different type of mask because a full face mask is uncomfortable.  <br>- GI specialist evaluation - homeopathic preferably - member is having nausea every day and states that he is unable to eat due to his nausea.  Mother reports that this has been worse since he had his T6-L3 fusion.  Possibly due to decreased motility.   <br>", "optionId": "l6l"}, "questionId": "P-gbms"}, {"options": {"value": "8048745660", "optionId": "i4v"}, "questionId": "S-lowx"}, {"options": {"value": "Other, SDOH, Behavioral Health", "optionId": ["epq", "sdo", "bhd"]}, "questionId": "U-w165"}, {"options": {"value": "Transportation assistance, PT/OT evaluation, ADHD/ADD & Autism Evaluation, Elevated PHQ9 of 18 - counseling/therapist needed, medication evaluation, GI specialist evaluation for motility and constant nausea, Sleep Apnea Evaluation for BiPap mask", "optionId": "C-MV65"}, "questionId": "C-MV65"}], "clientId": "client_013", "memberId": "NH013087800", "referralId": "vu8", "submittedBy": "chembrick", "sentToQADate": "2025-07-28T22:51:11.411Z", "submittedUserType": "nurse", "referralFormStatus": "0", "sentToHelpLineDate": ""}], "last_updated": "07-28-2025 18:51:11"}