Form 2060
Cutting up food is part of this task.
What is meal preparation?
Two workdays
This person cannot be the paid attendant under PHC or CAS, but could under FC as long as there is an unmet need.
Who is spouse of the PHC or CAS individual?
Impairment: The person can conduct activities without difficulty and has no need for assistance.
What is a score of a 0?
Form 2065-A
What is the form used to notify the individual of eligibility, ineligibility, or changes in their service?
This section of the 2060 is always completed first before any other section of the form.
What is the Impairment Column?
Alcoholism, dementia, effects of medication
What are Physiological Triggers
The chart in this handbook section is used to determine do not hires.
What is handbook section 2514?
Service Arrangement: Use when the caregiver is assisting with or performing a purchased task during the time the attendant is present.
What is P/C?
Form 2084
What is the Risk Management Team Meeting Summary Form, used to identify/document individuals at risk and develop a service plan to monitor individuals at risk?
These four tasks have a support score to determine priority status.
What are feeding, toileting, transfer, and meal preparation?
Eye Contact, use a calm voice, be respectful
What are Communication Techniques?
An applicant must meet these three criteria to be eligible for services.
What are Financial Eligibility, Functional Eligibility, and Unmet Need.
Impairment: Person needs minimal assistance getting in and out of tub or shower.
What is a score of a 1?
Two business days
What is the time frame within a 2065-A must be sent?
These are the only tasks that can be coded as "N/A" in the Service Arrangement Column.
What are Exercise, Walking, and Assistance with Medications?
Embarrassment, ageism, anger
What are Social/emotional Triggers
If a caregiver quit employment to care for the applicant, the caseworker must obtain verification that the individual quit employment within how many days of the application date?
What is 30 days before or after application date?
(For ongoing cases within 30 days of the request for the change.)
Service Arrangement: Use if any part of the task is to be purchased all of the time or at times when another service arrangement type is not available to assist.
What is P?
Form 2059-W
What is the form used for summary of individual's needs for services worksheet?
Record this information on the 2060 when there are multiple people in the household receiving services.
What are companion case name, companion case number, and companion case time for household tasks?
Preserves memory, is a policy requirement, allows others to see what has taken place within the case
What is Documentation?
These seven reasons are the only reasons why someone can be documented as a do not hire.
What are:
Abused, neglected, exploited, as substantiated by APS
Parent of minor child
Spouse in PHC/CAS
Unwilling household member
Caregiver support
Individual designated
Caregiver/paid attendant at reassessment?
Impairment: Person can self-direct medications, but must be reminded to ensure that medications are taken as prescribed.
What is impairment score of a 2?
Form 2058
What is the form used for documenting case activity?