HCBS Settings Rule
SD HCBS Services
Name that form
Know your leaders
Pot Pourri
100
When (month & date) does the HCBS Settings Rule come into complete compliance?
March 2023
100
How many CSPs provider services in SD
21
100
What Benchmark form does a CM complete for a new person to their caseload
IIA – Individual Information Application
100
What SD leader has the youngest child?
Taylor
100
How many different regional directors has the Central/NE had in the history of Benchmark
3 (Jan, Collin, Taylor)
200
In what year were the HCBS Settings Rules first released?
2014
200
How many SD regions have more than 2 CFCM providers
2 (NE & SE)
200
What DD form is submitted within 24-hours of a known discharge
DD 751 – Discharge Notice
200
What SD leader is a huge Chicago Bears fan
Tacey
200
How many CMs did the SE Region start with in June 2016
8
300
Who is the primary authority at the Division regarding the HCBS Settings Rule?
Jaze Sollars
300
Who completes the LOC process within Benchmark
Regional Director
300
What is the form number that is completed to assess a participant’s financial eligibility for CTS services
DD 700 – Financial Eligibility
300
What SD leader lives in a town known for their dairy products?
Karen
300
Which SD region took off the quickest with participants signing off to work with Benchmark Case Management in 2016
West
400
Name the entity of origin in which the HCBS Settings Rule come from
CMS
400
Name the 2 waiver services that Benchmark operates in SD
Choices & Family Support
400
Name the 3 types of SCRs
Provisional Plan of Care, Request for Provider Change, Service Change Request
400
What SD leader grew up with a Wolf as their high school mascot?
Laura
400
What is Jenny’s official title
HR Office Coordinator
500
Name two areas of focus of the HCBS Settings Rule
Location, Living Arrangements, Privacy, Dignity & Respect, Physical Accessibility, Autonomy, Community Integration
500
What SD region is an agent for MFP
West
500
What is the name of the Benchmark form employees submit when payback for out-of-pocket expenses, such as meals and office supplies
Travel & Expense Form
500
What SD leader loves ice-breaker activities
Teri
500
How many original Support Coordinators were hired to kick start the Family Support Program?
4