SAI
This section has the Diagnosis info on the SAI.
Section D
Transition goals are needed for members in the ISP starting this age :
15
Within how many days does the Re-assessment SAI need to be complete after an Initial SAI was completed for member?
365
What does CFC stand for ?
Community First Choice
Which event has this question in Dynamo- " Has reliable transportation" ?
Health Care Equity Event
This section has the Assessor info on the SAI .
Section R
Which section do you enter the info regarding the review of the ISP ?
ISP Reviews, Revisions, and Member Decisions
Within how many BUSINESS days does an ISP need to be submitted after an SAI was completed ?
10
What are modes of PCS service delivery that a member has an option of choosing :
Agency, Consumer, SRO
How do you get to Tasks in Dynamo ?
All Queries - Tasks - My Pending Tasks
This section has the mental Health and Behavioral Health Concerns in it.
Section H
Name four Long term goal categories that are needed for each ISP :
Social, Medical, Service Coordination, Educational, Developmental
Member referrals need to be documented in these two places:
ISP Narrative and Community Resource Referral Event
Is there a maximum number of hours a member with PDN can receive if they are asking for PCS as well?
No, it depends on medical necessity.
Name five categories from the ICM Special Interest Subgroups on the episode page :
Brain Defect, Brain Injury, Challenging Behavior, Children with special healthcare needs, CHIP, CMC pilot, CHW, CPS, Dental Care, Hearing Impaired, High Dollar Cost, Hospice, Homelessness, IEP, Intellectual Disability, Medically Fragile, Mental Retardation, Opioid Management Program, Pharmacy Restriction, Physical Disability, Premature Birth, Speech Impairment, Transportation, Ventilator Dependent, Waiver Participant, Wheelchair access
These sections are completed by the RNs.
Section N and O.
How many copies of the ISP Narrative are needed in the file ?
2 - one for the LAR/ member, one for PCP
If member has svs , where would you document the rationale for the member receiving svs in your documentation ?
ISP ( Notes section at top) .
Name all the forms needed for Agency Directed PCS svs that need to be linked in Dynamo.
1581; 1584; 1718 , EVV Form, Contingency Plan
What is that phone number for 1-844-787-5437 ?
Aetna TX Star Kids SC Dept
This section has the Goals for the member documented in it.
Section P
What section will need to be completed by the LAR moving forward in the ISP Narrative?
Signature section
All required signature forms need to be attached to the member's chart within how many BUSINESS days?
3
Three ways a member can be approved for a CFC auth:
Assessment from local LIDAA
Assessment from RN with MN determination
Member has a YES waiver
Maternal Health Program Patients can get this additional service authorized for them in QNXT.
CPW svs/ auth