Are you Blue?
The BSC platform used to show appreciate to your colleagues
What is the LOVE platform
Referrals can be made without a verbal consent from the member - True or false
What is False?
CCS serves eligible members under this age
What is 21?
This leader lives in the mountains of Northern CA
Who is Dana?
BSC PHP
What is Blue Shield Promise Health Plan?
Name three core values of BSC Promise
What are honest, courageous, human?
Usually the shortest engagement acuity
What is Care Coordination?
The parent of a 2 year old reports speech and development concerns. This program should be on the CM radar.
What is EIES [Early Start/Early Intervention]
This CM has two furbabies named Rita and Joji
Who is Melissa?
DHCS
What is Department of Health Care Services?
Where training and compliance modules are found
What is Shield Learns?
Timeframe in which all CM/CCM assessments are to be completed
What is 60 days?
This developmental dx is commonly associated with challenges in social communication, sensory issues, and restricted or repetitive behaviors
What is autism spectrum disorder?
Which leader holds their CCM certification?
Who is Deslyn?
CSHCN
What is Children with Special Health Care Needs?
Important BSC information and updates are found in this popular link
What is Shield Central?
Mandatory call recording statement
What is "this call may be recorded and/or monitored for quality control purposes?'
Commonly used resource for CM to assist in determining eligibility [hint: sometimes called the "bible"]
What is the CCS Medical Eligibility Guide?
This CM is the newest parent on the team
Who is Cat?
EPSDT
What is Early, Periodic Screening, Diagnostic, and Treatment?
The CEO of Blue Shield Promise
Who is Kristen Cerf?
Name all 4 CSP CPEs
What are EPSDT, CSHCN, EIES DDS, CCS
A child with this inherited blood disorder may qualify for CCS due to ongoing specialty care and risks such as vaso-occlusive crises.
What is sickle cell disease?
This CM also moonlights as a Ren-Fair perfomer
Who is Temple?
PEDI
What is the Provider Electronic Data Interchange portal?