Services
This service allows staff to clock in and out electronically using approved sites and is required for billing.
What is CLS-EVV
Services that require monthly monitoring by QPs, and services that require quarterly monitoring
What is
Monthly: AFL, Residential, RDSE
Quarterly: CLS, CN, SE, Respite, Day Supports
Who does Allan provide respite to?
T.Gates
Short-range goals must be updated every ______ months based on the member's birth month.
What is 6 months
A child receives CLS during school hours to meet 28 hours/week schedule. What rule is being broken?
Services cannot be provided during school hours, the hours must be outside school time.
This MCO and service allows relatives to work up to 56 hours without an application
What is Alliance & CLS
Incident level when a member has a behavior and throws a desktop in the day program
What is Level 1
Luis provided what service to his member Ryan
What is AFL
You receive an authorization that does not match the members ISP. What do you do?
What is Contact the care manager to make corrections
How many extra hours can you get on non school days
What is Plus six additional
This service allows specialized therapies such as OT, PT, Speech
What is SCS Services
This LTCS level allows for up to 3 members in a home
What is LTCS Level 4 is Residential Supports (3 or less people )
Total # of members for Thrive Initiative strategic Goal
What is 100
What document should you always reference first should you have service questions
What is Clinical Coverage Policy 8P
A guardian insists on 40 hours CLS + 20 hours SE under 1915i, is there an issue
What is CLS + SE combined may not exceed 40 hours per week.
This program was launched on 7/1/2023 to expand services for IDD, TBI, and and all individuals waiting for waiver services.
What is 1915i
At what age do innovations and 1915i members transition to adult services?
How long should staff/member records be kept after discharge?
What is 11 years
What report needs to be completed if there is reported abuse, neglect, or exploitation?
What is an IRIS Report
A member receives ABA therapy at 2 PM. Staff also want to bill CLS from 1 PM–4 PM. What is the issue
What is Services cannot overlap with therapies (ABA, OT, PT, Speech) because this is Medicaid fraud.
The number of units for 28 hours of CLS for an entire annual plan.
what is 5,824
What document do you need to determine if your home is licensable
Zoning letter, Letter of Support, Fire & Sanitation
What month and year did Ryan’s place open
What is February 14th, 2021
What task needs to be completed by the 5th of every month?
What is Progress notes?
A 1915i RDSE wants their child to have respite on on any given day. What's the issue?
What is 1915i RAP cannot have respite