What is one type of housing placement and one type of treatment placement?
Housing: Halfway houses, shelters, independent living (own homes), Hom Inc, Sober living
Placement: Flexcare, BHRF, RTC
What is the difference between a contact note and a progress note?
Contact note is not seeing the member
Progress note is seeing the member
What agency do we notify if there is a report of abuse or neglect?
Adult Protective Services
What is the online community database that we use for referrals?
Unite US
What insurance designation is needed for a member to see PCP Dawn?
T19
What options are only available for T19 members?
Yes to APS but reported as "mandated reporting" and no to incident report.
Would you complete an Incident report/APS report for below and why: A member new to the clinic is meeting with you to complete the comprehensive assessment. Member stated that 40 years ago they were physically abused by their father. Member is now 50 years old.
YES! Historical reports are required because abuser can still have vulnerable people in their home.
Member asks for counseling referral to an agency other than Copa. What is the process?
Update ISP
Sign ROI
Send the referral
What is the timeline we have to return calls?
24 business hours
What would you offer this member: Member is T19 and inpatient. Member has substance use issues (fentanyl) and is willing to consider treatment. Member has lived alone before but struggles with needing prompting for laundry and medication.
RTC or lower level flexcare
What are three things wrong with this note: Met with member in the office for scheduled follow-up regarding housing and medication concerns. Member was alert and engaged. Member said "f*** you" when asked if they are willing to work. Member was very rude and this CM was upset with the member. This CM threatened to walk away from the member unless member is willing to change their attitude. This CM gave member the list of shelters and ended contact. Plan: member to call shelters and find housing.
If the member is SMI then they are a vulnerable adult.
A member wants equine therapy but does not have a specific place. You are unaware of places that offer equine therapy. What are 3 things you can do?
Check with your team
Check with your CC
Check with your CD
Call places on the internet
Check Unite Us
If member is NT19 what transportation company can they not use?
Hope
What type of behavior is needed for a member to be accepted for a BHRF? and provide an example
Overnight behavior- wandering, night terrors, increased voices at night
What are three things wrong with this note: Met with member sometime this week. Member was doing bad and not cooperative. We discussed housing and meds and I told them to do better. I also called their doctor maybe yesterday. Member said things were fine I guess. Plan is to keep helping.”
Would you complete an incident report for below and why: Member comes in for a BHMP appt. Member is not taking medications and is speaking in loose and unconnected sentences. Member shares that they were starved by the BHRF staff and forced to sit in soiled clothes. Member has a history of making false reports when psychotic.
YES! It is not our job to determine if the member is telling the truth.
What is the timeline to send a referral from the point the member asks?
7 days
What are two emails/documents that need to be reviewed before an ROI should be signed for a transfer?
RHBA at a Glance and the currently closed Health Homes
What are three things that need to be with a BHRF application or it can not be sent off? Hint: CD has emailed about this in May
Member/Guardian Signature
Progress Note with agreement
Hospital Documentation
What are two things wrong with this note:Met with member for scheduled case management follow-up to address care coordination needs related to housing stability, medication adherence, and outpatient appointment engagement. Member presented on time, was appropriately dressed, and participated throughout the session. Reviewed recent barriers to follow-through, reinforced the importance of treatment consistency, and explored strategies to support appointment attendance and communication with providers. Member reported things had been ‘pretty bad’ since the last contact and stated that he had thoughts of not wanting to be here. Case manager to think positively . Plan: continue monitoring progress, reinforce follow-through, and follow up at next scheduled contact
YES! We are all mandated reporters and can not hold confidence.
Can a referral be sent if there is no affidavit for the assessment or ISP? why?
No because someone with a license has to confirm the accuracy of the information