Forms
Smarter Than A 5th Grader
Policies and Procedures
Fun And Games
What Would You Do?
100

What form do you use if you need to add more information about a visit?

Communication Form

100

How many states were there in the US before Alaska and Hawaii joined?

48

100

What type of visit can be done over the phone?

Quality Check and Verbal AO

100

How much does it cost to "Get out of Jail" in Monopoly?

$50

100

What would you do if a client asked you to walk their dog?

Decline as it is not one of the services we offer

200

What form is used when a client also has skilled care or hospice?

Coordination of Care 

200

What number is the roman number XVI?

16

200

How many days do we have to begin services with Superior or Amerigroup?

5 Days

200

How many cards are in a deck of cards?

52

200

What would you do if a CP is accused of stealing?

Report to your Director or AD

300

If a client refuses services what form do you use?

Variation of Service Delivery
300

Who is on the front of the $100 Bill?

Benjamin Franklin

300

Does a client have to be home for a CP to provide services?

Yes

300

What does a "Royal Flush" consist of in Poker?

Ace, King, Queen, Jack, 10 of all the same suit

300

What would you do if a client continuously causes problems with every CP that is placed with them?

Request an IDT meeting with the case manager

400

What form is considered a contract and cannot have an addendum? 

A 147

400

How many planets are in our solar system?

8 (9 including Pluto)

400

What does ANE stand for?

Abuse, Neglect, Exploitation

400

Vana White struts her stuff on what televised game show?

Wheel Of Fortune

400

What would you do if a client CP reports to you that they feel the client is being sexually abused?

Report to Director and AD then file a APS report

500

Who can (if anyone) sign for a client?

A POA or Family Member of A Coherent Minded Client Who Is Not Able To Sign Themselves

500

The first atomic bomb attack was on which city?

Hiroshima

500

Explain the steps of a 3613.

1) ANE Checklist

2) Collect Statements From All Involved

3) 3613 Paperwork

4) Revise 10 Times

500

This popular TV game show featured a famous host and breif cases.

Deal or No Deal

500

What would you do if you find a client conscious on the floor when conducting a visit?

Assess situation, contact appropriate services if needed and contact AD or Director immediately after.

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