MSW 529 Week 7 Twelve-Month Care Management Plan Example

Course	MSW 529 Medical Social Work II
Week	7
Paper type	Care management plan
Length	About 550 words, 5 pages
Format	APA 7 student paper
School	Chamberlain University
Program	Master of Social Work (MSW)
Updated	October 2026

Free sample paper for MSW 529 Week 7

Twelve-Month Care Management Plan for L., November 2026 to October 2027: The Dates the Systems Impose, a Start-Work Date Ahead of Every Deadline, Escalation Thresholds, Two Intensities of Contact and Nothing Resting on One Person

Student Name

Chamberlain University

MSW 529: Medical Social Work II

Instructor Name

Month Day, Year

What this page is doingThe title promises a calendar built from the systems' own dates with start dates before due dates, which is what this plan is graded on.

The Calendar

Table 1

Twelve-Month Calendar of System Dates

Date the system imposes	What it is	Start work by	Owner
Nov 15, 2026	Brother's written caregiver agreement due to transplant center	Nov 1	Transplant social worker
Dec 1, 2026	Backup ride plan due to transplant center	Nov 15	Dialysis social worker with L.
Jan 1, 2027	Employer plan deductible and Medicare deductible reset	Dec 1: set aside funds; confirm premium help renewal	L. and T.
Feb 2027	Premium assistance renewal	Jan 5	Dialysis social worker
Apr 2027	Paratransit eligibility recertification	Feb 15	L. with dialysis social worker
Jun 2027	Annual transplant waitlist re-evaluation	May 1	Transplant social worker
Aug 31, 2027	Employer plan stops being primary; Medicare primary from September 1	Jun 1: review supplemental coverage options and costs	Dialysis social worker with L.
Ongoing	Disability claim decision expected	Monthly status call	L. with legal aid

Note. Note. Each start-work date is at least two weeks before the system's deadline, longer where forms take time.

What this page is doingPutting a start-work date before every deadline turns a list of renewals into a plan that begins on time.

Why the Coordination Date Matters

Under Medicare's rules for people entitled through kidney failure, the employer plan pays first only for 30 months (Centers for Medicare & Medicaid Services, 2024). From September 2027 Medicare pays first and covers 80 percent of approved costs, so the household needs a plan for the remaining 20 percent before September.

Two Intensities

Routine: a monthly call from the dialysis social worker, logged, covering the calendar items due in the next 60 days. Crisis: within one business day of a missed dialysis session, a hospital admission or a lost ride, a call to L. and T. and a review of the backup ride plan.

The routine call is short, usually ten minutes, and follows the calendar. The crisis response is not short. It starts with what happened, then checks each calendar item that the crisis might affect, such as a missed renewal during a hospital stay.

What this page is doingDefining two intensities with their triggers keeps routine contact from becoming crisis work by default.

Escalation Thresholds

Two missed dialysis sessions in a month: case conference with the unit nurse manager. Any lapse in premium assistance: same-day call to the charity's case line. Paratransit late more than three times in a month: written complaint and request for a fixed early pickup.

What this page is doingSetting thresholds that trigger a named response keeps escalation from depending on someone's judgment that day.

Nothing Resting on One Person

Each calendar item has an owner and a backup. If the dialysis social worker is away, the unit nurse manager holds the calendar. L. and T. keep a copy on the refrigerator. Continuity across settings and phases is the work chronic illness demands (Corbin & Strauss, 1991).

Review

The plan is reviewed with L. and T. each quarter, on the first dialysis day of January, April, July and October.

At each review, L. and T. are asked one question first: "What on this calendar worries you most?" Their answer sets the order of the review.

References

Centers for Medicare & Medicaid Services. (2024). Medicare coverage of kidney dialysis and kidney transplant services (Publication No. 10128). U.S. Department of Health and Human Services.

Corbin, J. M., & Strauss, A. (1991). A nursing model for chronic illness management based upon the trajectory framework. Scholarly Inquiry for Nursing Practice, 5(3), 155-174.

Reading the MSW 529 Week 7 instructions

The care management plan is a calendar with a staffing chart attached. Its spine is twelve months, and what goes on it are the dates the systems impose: authorization end dates, eligibility renewals, plan year turnovers, deductible resets and program recertifications. For each, give a start-work date well before the deadline, since a renewal picked up in the month it is due is already late. Set two intensities of contact, routine and crisis, with what triggers each. Write escalation as thresholds that trigger a named response. Make sure nothing rests on one person by naming a backup. For someone who will not get better, goals concern stability and access rather than cure.

How this MSW 529 Week 7 example is built

Table 1 lists eight dates from November 2026 to the end of the coordination period in August 2027, each with what it is, a start-work date and an owner, from the brother's caregiver agreement to the premium assistance renewal, paratransit recertification and waitlist re-evaluation. A section uses the federal kidney coverage booklet to explain why the coordination date matters and the 20 percent left once Medicare is primary. Routine contact is a monthly logged call; crisis contact follows a missed session, an admission or a lost ride within a business day. Three thresholds trigger named responses. A section names backups and a refrigerator copy, citing Corbin and Strauss (1991), and quarterly reviews close the plan.

MSW 529 Week 7 rubric: what full points look like

A plan with no dates fails outright, however good its reasoning, because the course is about the calendar systems run on. Next is a renewal entered as a deadline with no start-work date. Faculty credit a twelve-month calendar of system-imposed dates, start dates ahead of deadlines, owners and backups, two intensities of contact and thresholds for escalation. Coverage dates must be accurate. The plan should be readable by the person and family as well as staff. Sources on coverage rules and chronic care, in APA, support the plan. Goals for someone who will not get better should focus on what can be kept stable.

Common MSW 529 Week 7 mistakes, and how to avoid them

The plan that fails outright lists goals and interventions with no dates. Another common gap is putting due dates on the calendar without start dates, so forms are gathered too late. Some plans route everything through one worker, which collapses during a vacation. Others describe escalation as using judgment rather than naming a threshold. For a different patient, perhaps an older adult on a Medicaid waiver with aide hours, the same spine applies: system dates, start dates, owners, backups and thresholds. A plan written this way for your patient survives the worker's absence because every date has a second name beside it. Give each date a second name beside it.

Get a MSW-529 Week 7 example written to your instructions

Send the Week 7 instructions with the template or care plan form your classroom wants filled, and a custom plan is written into it and returned inside 24 to 48 hours, the first one free. Tell us the state and the funding source if you have them, because the renewal cycles that shape this document are set by the program, not by the illness.

More MSW 529 papers and MSW samples

MSW 529 Week 7 questions, answered

How long a horizon should the plan cover?

Twelve months is the usual instruction, and it is the right length for this material, because a year contains at least one plan year rollover, one eligibility renewal and one authorization cycle. A ninety day version turns into something the earlier course already owns. Where the assignment names a different span, use it and say which cycles fall inside it.

What goes in the goals section for someone who will not get better?

Holding, and the plan says what it is holding against. Weight inside a range, no admission this quarter, the aide hours kept at their current level, the man still living where he lives. Each one written so somebody could tell in November whether it happened. A goal phrased as improved quality of life gives a reviewer nothing to check and is the version that loses points.

Does the person sign this?

Many templates carry a signature line and several sections require the plan to be readable by the person it is about. Where that is asked for, the plain version is not a summary bolted on at the end; it is the document itself with the internal shorthand taken out. The dates and the escalation calls matter most there, since those are the parts somebody at home has to act on.

Where can I find a free MSW 529 Week 7 sample paper?

You can read a complete MSW 529 Week 7 twelve-month care management plan for a dialysis patient here, with its calendar table and margin notes.

Why does the MSW 529 Week 7 sample set start dates before due dates?

Because renewals and forms take weeks, and a deadline picked up in the month it is due is already late, so each item starts at least two weeks ahead.