ReineCare Operations

Access and intake

Referral pipeline

Move every prospective client through one accountable intake and readiness workflow.

Open referrals—Active pipeline

New—Awaiting first action

In review—Clinical or financial

Admission ready—All checks resolved

Admitted—Converted referrals

Conversion—Admitted ÷ final decisions

Needs attention—Action or review overdue

Financial attention—Benefits or authorization

Utilization attention—Units or concurrent review

↳

Select a referral

Review intake information, ownership, payer progress, blockers, and admission readiness in one place.

Authorization command center

Utilization review

Track authorized services, remaining balances, payer deadlines, and accountable owners across the organization.

Tracked authorizations—Matching current filters

Needs attention—Any active warning

Reviews overdue—Past the payer deadline

Due next 7 days—Concurrent review work

Low or exhausted—Authorized units

Unassigned—Needs an accountable owner

Organization worklist

Authorization and concurrent-review queue

Loading…

Loading utilization review work…

Pre-admission records remain labeled Not yet placed. After admission, ReineCare automatically uses the resident’s live site, program, unit, room, and bed assignment.

Unified clinical record

Select a patient to open their chart

Demographics will load securely from OpenEMR. Clinical documentation remains in the system of record while ReineCare becomes the staff workspace.

Reviewing client profile

Demographics are synchronized from OpenEMR and should be verified before clinical use.

Current care

No active placement

Not admitted

Site—

Program—

Unit—

Room and bed—

Admission date—

Level of care—

People and support

Client contacts

OpenEMR

No contact information available.

Care coordination

Care team and coverage

Not recorded

Care teamAssigned and outside providers

Primary counselorNot recorded

Case managerNot recorded

Medical providerNot recorded

Primary care providerNot recorded

Referral sourceNot recorded

Coverage and authorizationVerify directly with the payer before relying on coverage

PayerNot recorded

PlanNot recorded

Member IDNot recorded

Group numberNot recorded

Payer phoneNot recorded

AuthorizationNot recorded

Authorization periodNot recorded

Clinical summary

Diagnoses, medications, and medical context

No signed assessment

This summary only reflects the latest signed ReineCare biopsychosocial assessment. Use the assessment workflow for additions or corrections.

Documented diagnosesCodes and descriptions from the signed assessment

No diagnoses documented on a signed assessment.

Assessment medicationsMedication entries captured during assessment

No medications documented on a signed assessment.

Clinical contextSigned medical and diagnostic narratives

Medical history

Not documented on a signed assessment.

Diagnostic impression

Not documented on a signed assessment.

Medication summary

Not documented on a signed assessment.

Clinical awareness

Safety and alerts

Verify before use

Allergies and intolerancesLoading from OpenEMR

Loading allergy records…

OpenEMR is the source of record. Verify allergy reconciliation before clinical use.

Suicide riskNot assessed

Violence riskNot assessed

Withdrawal riskNot assessed

Risk levels reflect the latest documented assessment and are not a real-time safety determination.

Care snapshot

Clinical record at a glance

Current

Medication coordination

Medications & MAT

Verified-source medication workflow

ReineCare does not prescribe or dispense medication. Administration entries are tied to a verified coordination record; timing and daily-limit warnings support staff review but never replace the authorized order or clinical judgment.

Current records—Active, planned, or on hold

MAT-related—Latest verified or draft records

Reviews due—Due today or overdue

Access or adherence concerns—Needs coordination

Open a patient chart to load medication coordination.

Audited clinical coordination

New medication record

Document what was verified, where the information came from, current coordination needs, and when it must be reviewed again.

Record date Medication name Clinical status Treatment role MAT-related coordination Substance or treatment target Documented dose Documented route Documented frequency Enable administration logging Minimum minutes between doses Maximum given doses per day Administration calendar timezone

Authorized administration schedule

Schedule classification

Only a complete schedule on a verified medication version can create due-window review states. PRN instructions never create a due time.

Schedule type

Prescriber or ordering clinician Pharmacy or dispensing program Adherence or access status Information source Reconciliation date Start date End date Next review date Indication or treatment purpose Source verification detail Last-dose or supply verification Monitoring and coordination plan Medication storage and diversion safeguards Access barriers Safety or interaction notes Additional coordination notes

Whole-person assessment

Biopsychosocial assessment

0 versions

Open a patient chart to load assessments.

Clinical form input · 12 domains

New assessment draft

Structured after the uploaded BPS reference. Save an auditable draft as you work; signing and amendments remain separate protected actions.

Assessment date Start time End time Duration in minutes Recommended level of care Suicide risk Violence risk Withdrawal risk

Presenting problemReason for treatment, goals, living situation, supports, and identity

Precipitating event and reason for treatmentPresenting problemCurrent symptoms and functional impactPrimary treatment focusWhat the client wants help withWhat has helped in the pastPrimary support systemCurrent living arrangementsPreferred pronounsGender identitySexual orientation

Substance use and treatment historyUse patterns, withdrawal, overdose, prior care, sobriety, and recovery supports

III

Trauma screenLifetime exposure, current impact, safety, and exploitation history

Psychiatric history and safetyDiagnoses, treatment, suicide and violence screening, and protective factors

Psychiatric and treatment historyPrior mental-health treatment

Psychiatric diagnosis historyRecord reported or documented diagnoses and related medication.

Hallucination or delusion historyMania or hypomania historyImpact on daily functioningMental-health consequencesDisability or inability-to-work historyEating-disorder history and current statusGambling concernsOther addictive or compulsive behaviors

Suicide screening

Document lifetime and recent findings separately. Follow immediate escalation procedures for current intent, plan, or imminent danger.

DomainLifetimeRecentWish to be deadSuicidal thoughtsMethod consideredIntent to actSpecific planSuicidal behavior

Suicide and self-harm history notes

Violence ideation, past 30 daysViolence ideation, lifetime

Risk assessment and clinical rationaleProtective factors and safety resources

Medical historyConditions, medication, MAT, communicable-disease screening, and referrals

Medical and physical conditionsMedication summary and adherence

Current medicationsRecord dose, frequency, prescriber, purpose, and continuation preference.

Medication-assisted treatment historyInterest in anti-craving medicationLast TB testTB historyCurrent TB symptom screenTesting or medical referral statusUntreated injuriesUntreated dental concerns

Pregnancy statusBreastfeeding status

Family, relationships, culture, and spiritualityDevelopment, family history, supports, identity, and treatment involvement

Developmental historyUpbringing and caregiversFamily behavioral-health, substance-use, and medical historyPresent family relationshipsRelationships and support systemSignificant relationshipsChildren or family-services involvementDesired family involvement in treatmentCultural, spiritual, and identity considerationsCultural identity and influencesImpact of culture or race on recoveryHigher power, religion, spirituality, and sources of hope

VII

Legal assessmentCurrent status, charges, incarceration, court requirements, and practical needs

Legal involvement narrativeCurrent legal status

Conviction historyCourt-mandated treatmentDrug courtValid driver's license

Restitution or other financial legal obligations

Charges and pending legal mattersRecord dates, disposition, and next court date when known.

Incarceration historyRecord only details relevant to care planning.

VIII

Educational and vocational needsEducation, goals, learning readiness, preferences, and barriers

Education and vocational narrativeDiploma or GED statusHighest education completedCurrently enrolledFuture educational goalsKnowledge of addiction and recoveryReadiness to learnPreferred languageReading abilityWriting ability

Preferred learning styles

Visual Auditory Reading and writing Hands-on

Barriers to learning

Employment historyCurrent work, occupational consequences, training needs, finances, and military service

Current employment statusEmployment or job-training referralOccupational impact of substance use or mental healthSatisfaction with current employmentVocational goals or counseling needsPrimary financial supportMilitary or uniformed-service history

Employment historyList the most recent positions first.

Client strengths and abilitiesStage of change, psychosocial needs, barriers, interests, SNAP, and discharge goals

Stage of changeBarriers to treatment successRecreation, hobbies, and interestsBarriers to recreationStrengths, needs, abilities, and preferences narrative

StrengthsNeedsAbilitiesPreferences

Discharge plan at admission

Mental status and diagnostic evaluationMSE, identified problems, diagnoses, impression, formulation, and recommendations

AppearanceEye contactAttitudeBehaviorSpeechAffectMoodThought processThought contentPerceptionMemory and concentrationInsightJudgment

Orientation

Person Place Time Situation

Mental status examination narrative

Problems identifiedConnect active needs to the treatment plan.

Client diagnosesRecord code and description.

Diagnostic impressionIntegrated clinical formulationRecommendations and initial plan

XII

ASAM-aligned dimensional reviewEvidence, service needs, client preference, and clinician-confirmed level-of-care reasoning

Clinical support—not an automatic placement algorithm

This original ReineCare documentation aid does not reproduce the proprietary ASAM Criteria admission rules. Select a signal based on your clinical review, document the evidence, and independently confirm the recommendation.

Edition or jurisdiction context Assessment purpose Review date Reviewer credentials

Dimension 1