By The Numbers
How many agencies statewide are contracted with MassHealth to provide BH CP services?
18
What does BEST stand for?
Boston Emergency Services
How do we avoid conflicts of interest when making LTSS referrals?
Offer the member choices and be sure to include referrals to outside agencies
How many times per year must our members have a wellness visit with their PCP?
1
What does RLC stand for? What is the use?
Recovery Learning Center
Peer run centers offering support in mental health and addictions recovery
Name at least 3 ways you maximize safety while doing outreach?
get as much history as possible, work with other providers, safety screening, double up, check out with supervisors, follow your gut, make sure phone is charged, aware of environment, etc.
How many agencies statewide are contracted with MassHealth to provide LTSS CP services?
9
What do ACO and MCO stand for?
Accountable Care Organization/Managed Care Organization
Name 3 steps you should take when a member is discharged from hospital
get d/c summary, send d/c summary to care team as appropriate, complete f2f follow up within 3 days, assist RN with med rec
After an inpatient stay, we have how many days to follow up with an in-person visit?
3
What does NAMI stand for?
National Alliance on Mental Illness
For Peer and family supports for those with mental illness or families of those with MI
Name at least 2 people/entities you would report safety concerns to.
supervisor, teammates, care team
All new enrollees assigned to RCP after 11/1/18 have how many months to complete a signed PCTP
3 Months
What does CSU stand for? Or CCS?
What does this service offer?
Crisis Stabilization Unit
Unlocked, diversionary program staffed by nurses and mental health workers for psychiatric crisis stabilization
Name 3 reasons to connect with ACCS about a member's care
care planning, incidents, hospitalizations, ED visits, referrals made, goals met
What quality metric are we being held accountable for in 2019?
Accurate Reporting
Name 5 possible Care Team Members
PCP, Psychiatrist, therapist, guardian, Specialist, VNA, Family member, Peer Support
What kind of report do you file for suspected abuse/neglect of an adult member between 18-65?
DPPC Over 65? Under 65?
On average the life span of a person with serious mental illness is X years shorter than the general public.
25 years shorter.
Bonus Q. Possible reasons?
What does ASAP stand for?
Who does this serve?
Aging Services Access Points
Elderly Population
Name 3 steps to take when you learn a member is in the hospital
Event log, notify care team, reach out to hospital to leave contact info and request to be part of treatment/discharge planning, activity notes
After an ED Visit, we have how many days to follow up by phone or in person?
7
Name 3 steps you should take when receiving a signed care plan back from PCP
event log, CP complete Activity Note, upload to ehana, give member copy, send to care team including ACO
If a member has bed bugs, what strategies can you use so you can still meet with the member?
meet outside the house, meet on porch, meet in lobby if apartment building, meet by phone
x of the 10 leading causes of disability in the US are mental health disorders
4
What does MAT stand for? & When is it most often used?
Medication Assisted Treatment
Used in addictions treatment (Suboxone, Methodone)
An enrollee has to meet these requirements to be eligible for the BHCP
Diagnosis of SPMI, hosptalizations in previous 15 months of one of: 3+ IP visits, 5+ ED visitis, High LTSS utilizations, DMH enrollment,
Which members does MassHealth require to have annual diabetes screening?
Individuals diagnosed with Schizophrenia or Bipolar Disorder taking anti psychotic medications
Name all of the Riverside Community Partners
Brookline Center
Dimock Cneter
Edinburg CEnter
NSMHA
Riverside Community Care
Upham's Corner
What kind of plan do you create with your member in case they have emergencies after hours?
Crisis Plan
What should be included in Crisis Plan?