IDT Misc.
What would be the MCP review months for an enrollment on 10/29?
What is October & April
RN’s should check these 2 notifications daily on the Welcome Screen.
What is Unverified WISHIN hospital visits and Members Currently Hospitalized
Your member has Dedicated Staffing and requires 1:1 including overnights. You are obtaining monthly behavioral tracking from the AFH and uploading into Midas. What other document is required the AFH complete and CM upload monthly?
What is a sleep tracker
Member had a relocation with no changes to ADLs, IADLs, HRS or DME. Do you complete a CIC?
What is NO!
*this is an edit request
Member re-enrolls less than 30 days. What discipline has to make a call to the member?
What is the timeline for this call?
What is Rn in 3 days of re-enrollment
Per the DHS contract, the RN must make a phone call within 3 calendar days of the re-enrollment and case note details of a health & safety assessment.
It is not a requirement for the RN to complete a full MIDAS worksheet assessment EXCEPT if uncovered during the call the member has had a significant change in condition.
You do not need to have the member or legal decision maker sign HCBS informed consent if you do not live in a residential setting or you live in residential setting and do not have HCBS rule modifications. True or False?
What is True
The caregiver skills verification form will be completed, a minimum, of how often?
What is every 6 months.
Your member was stayed with family over the holidays and left Dec. 24th and returned Dec. 25th. What days do you enter the Leave of Absence Auth?
What is no LOA NEEDED! Trick question :) members need to be gone for over 24 hours before entering a Leave of Absence auth. No Leave of absence auth is needed.
Note: MCW defines a member leave of absence as partial payment to a provider exclusive of Care and Supervision/Support Services while a member is absent from the facility for an entire calendar day (24 hours). Only room and board are reimbursable to providers when a member is absent from the facility for 24 hours or more, for any reason
Member is a new enrollment and their screen does not match for mobility. True or False you enter a CIC?
What is False
Member is newly enrolled and LTCFS is not completed yet.
• IDT will document in applicable assessments current need/assessments.
• IDT can enter a case note “IDT assessment of ____ does not match the LTCFS because the member is newly enrolled and
pending LTCFS which will address the inconsistency."
What is before the 1st of Dec.
Ongoing SVA services for a member during a review month. What steps need to be completed to renew the SVA auth. Hint 3 steps. List them.
What is
1. Complete SVA Assessment
2. Enter PSR after Lead signs off
3. IDT will receive notification that MSR is enter and can enter the auth
What is 10 days after discharge
Member was living in her own home and was hospitalized for 1 week. Member was discharged to the SNF for rehab with goal of returning home. What are 3 tasks that should be completed when a member is discharging from hospital and admitting to a SNF?
What is Member Status Change Form, Care Transition and temporary SNF letter.
*As a friendly reminder do not forget to enter Member Status Change Form for SNF admissions, discharges and enroll in place.
What is the time expectation to submit a CIC request once IDT becomes aware of a change in condition?
What is 1 business day
Member requested transportation to work in Dec. You completed a written RAD for services and entered authorization. When is follow up due for this service being implemented?
You have been helping member complete their MA renewal. Documenting in case notes under Financial Issues each week. You note on the MA renewal spreadsheet that your member has been marked complete. What must you not forget to do?
What is enter a case note to close the loop that members MA rewenal is completed.
How often do RN’s need to verify diagnoses and what needs to be done?
What is Annually the letter is sent to PCP
Members phone number changed, and this can be edited in the demographics page. True or False?
What is False!
All addresses changes (physical, mailing, billing) and phone number changes need to be completed via MSCF.
On Dec. 17th IDT was updated member is going to be starting outpatient therapy on Jan. 5th for 6 weeks. You note this is a CIC due to change in HRS Table. What date should you enter the CIC?
What is Jan. 5th.
CIC should not be entered until the changes have started and/or the equipment has been received.
Newly enrolled member signature page was completed at the required 10 days from enrollment. When is the 2nd signature page due?
What is 60 days from enrollment
Every member monthly contact is complete when this is documented in their case notes.
What is a monthly contact template.
What is 10 days
Member started working at Culvers part time. What should be updated by the Care Manager?
What is CIE Worksheet and CM assessment.
You have NNH LOC of member who requested a shower chair, it was approved and member is now using the shower chair to independently shower in their own home. Does this require a CIC?
What is yes
For NNH LOC: ANY change to ADL/IADL rating or DME will require a CIC.
You were notified that your member's Annual screen is completed and requires IDT ACK. How many days do you have to review the screen?
What is 5 days from notification