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Risk screen to health department from OB MD         Risk screen entered into CMIS by admin assistant/Notification sent to RN       Negative screen=deferred as not meeting critieria NO Screen assessed by RN for validity and to determine if services needed YES If positive, case manager assigned, task and status pended in CMIS         Email and screen to case manager         Case manager receives referral in CMIS and reviews notes and documentation in CMIS       If patient accepts, assessments and tasks are completed in CMIS, status level set and OB MD notified of services YES Case manager initiates contact attempts to engage referral NO If patient refuses services, referral is deferred and OB MD notified of status