Common Knowledge
How many HCBS waivers are there?
9
6 adult, 3 childrens
What does HCBS stand for?
Home and Community Based Services
What does LTC Medicaid stand for and what does it cover?
Long-term Care and HCBS waivers
True or False: Providers should always be invited to the annual CSR meetings but their attendance is not required.
True and individuals in services can choose not to have them present.
True or False: Log Notes must have full names and titles.
True, for the first reference. People can be referred to by first name only throughout the rest of the log note.
What Colorado department oversees the HCBS waiver system?
HCPF or Health Care Policy and Financing
What is the term for the process that determines whether someone meets functional eligibility for a waiver?
Level of Care (LOC) assessment.
True or False: LTC Medicaid requires both financial and functional eligibility.
True
Who is responsible to facilitate IDT meetings?
DP case managers, PMs or ADs, depending on the reason for the meeting.
What is the standard amount of time after completing an activity that a log note must be entered?
5 business days
Which federal agency approves Medicaid waivers?
Centers for Medicare & Medicaid Services (CMS)
What does PCSP stand for?
Person Centered Support Plan
True or False: If someone loses Medicaid they are no longer eligible for CFC or HCBS waivers.
False, they may have been moved to a different type of Medicaid that will still support CFC but benefits team would need to advise on the option.
Can an assessment be held after the SP Start Date without a gap in services?
True or False: It is allowable to copy and paste emails into a log note.
False
What document outlines the member's goals, preference and service plan?
PCSP or Person Centered Support Plan
What document determines the number of hours needed for a member's assessed ADL/IADL care?
DCSC
Where do you find the Redetermination Date?
In PEAKPro, under the Diary Disability Date
How many days do we have to hold the PCSP meeting, after completing the 100.2 assessment meeting?
15 business days
DCSC documentation should be uploaded and saved to what two places?
CCM and Document Sets
What was the primary goal of HCBS waivers?
To help individuals remain in their homes and communities rather than institutional settings.
What is CMS?
The federal department that oversees all Medicaid and Medicare
Who needs to be notified if a member is determined to be financially ineligible?
The member and all providers.
2 attempts must be made and on different days and by different methods of contact. Ideally at least 11-15 days apart.
...it didn't happen."