Children's Waivers
Which children’s waiver serves children with developmental disabilities or delays who are most in need due to the severity of their disability, and provides services in the home or community?
CES — Children’s Extensive Support Waiver
Which adult HCBS waiver provides a home- or community based alternative to nursing facility care for older adults (65+), people who are blind, adults with physical disabilities (18–64), or adults with HIV/AIDS?
EBD — Elderly, Blind and Disabled
Which ROOTS principle emphasizes learning about bias, embracing diversity, and caring about people as individuals?
Put People First
According to HCBS rules, if a member requests an Assessment, what must the Case Management Agency do—even if staff believe the person won’t qualify?
Complete the Assessment upon request
You finish a service plan meeting and see several boxes on your DCSC are yellow. After writing justifications, what do you do next?
Send it to your supervisor for signature.
Which waiver serves children and youth ages 0–20 who have an IDD, very high needs, or serious emotional disturbance that places them at risk of out of home placement?
CHRP — Children’s Habilitation Residential Program Waiver
Which adult waiver provides Supported Living Services for adults with developmental disabilities?
SLS — Supported Living Services
Which ROOTS principle encourages staff to approach change positively and seek to understand the “why”?
Embrace Change
Case Managers must ensure members are fully informed of what key document that drives all services and supports?
The Person Centered Support Plan (PCSP)
An incident is reported involving suspected abuse. What four steps does the SC take next?
An incident is reported involving suspected abuse. What four steps does the SC take next?
Which waiver supports children with complex health needs who are at risk for institutionalization and includes children with life limiting illness receiving both curative and palliative care?
CwCHN — Children with Complex Health Needs Waiver
Which waiver serves adults with major mental illness?
CMHS — Community Mental Health Supports
Which ROOTS principle focuses on giving/receiving feedback and collaborating toward common goals?
Have a Collaborative Spirit
How long do Case Managers have to enter documentation into the state-prescribed system?
10 business days
You just received notification from our Benefits team that a Members Renewal was not complete, and services will end as of 2/28/2026. What should you do?
Email providers a Formal Discontinuation notice to end services as of 2/28/2026 and review what's needed with the member/guardian.
What program, effective July 1, 2025, provides State Plan attendant services and supports to all eligible Medicaid members and can be used alongside waivers if not duplicating services?
CFC — Community First Choice
Which waiver serves individuals with brain injuries and offers services as an alternative to hospital or specialized nursing facility care?
BI — Brain Injury
Which ROOTS principle requires staff to create a tone of friendliness, warmth, patience, and helpfulness in every interaction?
Create a Tone of Friendliness & Warmth
When must a Case Manager submit a Critical Incident Report involving abuse, neglect, exploitation, hospitalization, missing person, serious injury, or death?
Within 24 hours or one business day
You are hard at work sending out emails and realize you sent the wrong PCSP to an agency that does not provide that member services. What should you do?
Fill out HIPAA Breach form
Which children’s waivers allow enrollment at the following ages: Birth–17, Birth–20, and Birth–18?
CES: Birth–17; CHRP: Birth–20; CwCHN: Birth–18
Which adult waiver provides 24hour residential habilitation and is the only waiver with a waitlist?
DD — Developmental Disabilities
Which ROOTS principle instructs employees to listen without judgment and “listen to understand”?
Listen Generously
How often must a Case Manager complete monitoring contacts with a member, and what is the special annual requirement?
Quarterly monitoring + at least one in person visit in the member’s home or service location
Member/Guardian calls and tells you the member needs more Personal Care hours. What 3 things are needed?
Complete an Unscheduled Review, update the DCSC and submit revision