Name that form
Name that Character
What's that?
SOPs
State Capitals
100

What is the form number for Notice of Action?

What is DHS 2828B?

100

Name this Character


Who is Mira?

100

Name this device (include the brand name)

What is a motorola razr phone?

100

Name 3 services that CM can authorize without SUP approval

What is PCA/CFSS, PERs, HDM, Transportation, HM, ?

100

What is the capital of Minnesota?

What is Saint Paul, Minnesota?

200

What is the DHS 6893L?

What is Temporary CFSS Individual Service Delivery Plan Approval ?

200

Name this character

Who is Caillou?

200

Name this tool

What is an allen wrench or hex key?

200

What is the naming convention for requesting mail out from para? 

[county code] | mail out client initial PMI 

200

What is the capital of California?

What is Sacramento, California?

300

What form number is the CDCS unbundling plan?

What is the DHS 5788A?

300

Name that character 

Who is Edna Mode?

300

Name this plant

What is a wisteria tree?

300

Name 3 providers that you need support plan signature page from

What is CRS, CL, HM, ICLS, IHS, ICS

300

What is the capital of Georgia?

What is Atlanta, Georgia?

400

What is the DHS 3751?

What is the ICLS planning form?

400

Name that character

Who is Gonger?

400

Name this device 

What is a floppy disk?

400

What BV form do you mail out when you are not able to contact your client?

What is the BV 2006 - No Contact Letter

400

What is the capital of Maryland?

What is Annapolis, Maryland?

500

What is the 6790 M?

What is RMS Worksheet – Day and Employment Services?

500

Name this Character

What is Sloth from the Goonies?

500

Name two of Hennepin county's plants

Who is Roy, Barbara and Kevin?

500

What additional form may be needed in addition to DHS 5181 to remove u-code?

What is DHS 3543 - MHCP Request for Payment of Long-Term Care Services ?

500

What is the capital of Washington?

What is Olympia, Washington?

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