Documentation & Compliance
This term refers to activities that meet Pathways requirements for reimbursement.
Pathways billable
This is the new process staff must follow to obtain approval for mileage reimbursement.
What is the new milage approval process.
Until what age can a youth be enrolled in FSP?
Age 26
A participant signs the eligibility determination paperwork today, but the IATP hasn't been completed. Can the application be submitted?
No
Imagine you lose access to every manual, checklist, and policy for one hour. What's the most valuable resource you still have?
Your teammates and supervisors.
These purchases must always support this aspect of a participant's plan of care.
What are the participant's identified goals (or treatment/service plan goals).
Every email or communication with an MCO should include this person(s) or role(s).
Quinn/Lead, Meg/Quality
How often does the continued enrollment have to be completed?
Every 6 months
You finish a visit but don't document it until several days later. What important principle is being compromised?
Timely documentation
A teammate is overwhelmed with referrals, and you schedule allows you to help. According to our team culture, what should you do?
Offer assistance and support your teammate.
This assessment should be completed whenever specific risk factors or required circumstances are present.
What is a C-SSRS
Your participant has not responded to calls, texts, or home visits. Before closing the referral, what should you make sure you've completed?
What is 60 days of outreach and a Nonparticipation Form.
What other program, in addition to FSP, does the state have for residential treatment?
Interim Relief
The purchase cannot be justified as medically or therapeutically necessary.
False. Seeking support is a strength and helps ensure quality of care.
These are the phases participants move through during the Pathways to Success program.
What are the phases of Pathways to Success.
Complete a C-SSRS (if indicated), assess safety, follow crisis procedures, and document appropriately.
Does the youth have to live in Illinois to be eligible for FSP?
No, the legal guardian has to
What is the time frame for documentation to be completed within Epic.
If the encounter took place before 3p it should be documented the same day. If the encounter took place after 3p it should be completed by Noon the following business day.
A teammate discovers a process that saves everyone time. What should they do next?
Share it with the team so everyone benefits.
This is what the acronym C-SSRS stands for.
What is the Columbia-Suicide Rating Scale.
A youth requests a new gaming console because they are bored. Before approving it as an ISS item, what question should you ask first?
How does this purchase directly support the youth's identified goals or treatment plan?
Does a client have to be medicaid eligibile to qualify for FSP?
You completed excellent work with a participant but forgot to document it. From a compliance standpoint, what is the result?
If it isn't documented, it can't be verified and can't be considered done.
Partners, Teammates, Greatest Resources, Support System.