A TCAF will not be accepted if it has any of these concerns or is missing these items
Missing CL/CG wet signatures, times and dates, missing reason for TCAF, missing tasks performed, photocopied forms, white out on forms.
Name that Document...

And describe when we use it!
Auth to begin. Must be signed before a CG can begin providing services.
This form is used to document any time a CL has a unplanned hospital visit/ER, a fall, abuse of any kind, loss of contact, death, etc.
Serious Occurrence Report OR GER (General Event Report)
What do we verify over the phone on every single call with an existing CG/CL?
Full name and DOB or last 4 of SSN
This is where reports are located.
PowerBI (CDCN Connect Internal)
These are the steps for correctly submitting a caregiver request for PTO.
CG submits time as 'SICK' on EVV. An admin office staff will confirm with the CG that they are using their PTO.
The requirements needed for a CG before they can begin to provide services to a client. (ISO for 100 points / ABT for 100 points)
CPR/FA, Statement of Good Health, Fingerprinting/Background Check
(+TB, Cultural Competency, ABT Training for ABT CG's)
Name that document and describe when we use it!

Care Plan Review. This document lists the hours approved for the CLs and the tasks their CG's are expected to perform
This is the CDNV policy regarding the union and where you can find union contact information.
Redirect CGs to the union- SEIU. Union information is on CDNV Sharepoint Homepage
Someone calls and we can't hear them. This is an alternative way to search for them.
U2 - search by phone number
A shift will be suspended in the U2 system if it has the following issues:
Must name at least 3 for full points
Missing CL signature (approval), Missing Tasks, Overlapped, SICK time claimed, No active rate code/auth, or over work week limit
Name that document and describe when we use it.

Pay Selection Form
We use this when CG's are establishing their direct deposit information upon hire and when they need to change it
This is what is needed to enroll a client.
Program Eligibility Check (EVS or Caseworker), Authorization received, and CG ready to start within a week.
This is where you can find a list of all company-wide policies and the admin employee handbook.
Go to the Sharepoint page // Click on Human Resources // Click on Company Policies
Group question:
These documents get scanned into Central One.
(Discuss with group. You have 30 seconds. TIME STARTS NOW)
CG & CL Enrollment packets, wage memos, psf, I-9's, W4s, data forms
This is the life of the shift and how it travels through systems.
CA > U2/DMC > UTEX > Transaction Log (100 points each)
This is the process for submitting Verification of Employment Requests to the office.
CG walks in with form- we tell them it will take 3-5 business days for us to process. Scan it to infocdnv and AC's will send it to payroll accordingly.
3rd party calls in- we ask them to send the formal request to infocdnv and that it will take 3-5 business days to process. We do not give out information over the phone. AC's will send it to payroll accordingly.
Name that document and describe when we use it! 
What is an FA-24 or Prior Authorization (PAR) form. We use this form to request auth updates, changes, and as needed services.
Name the two systems that are used in tracking admin/office staff attendance.
CXOne and Workday.
New person records are created here; describe the steps to creating both a CG and a CL.
U2, press create, fill out all required boxes on User Details (Name, Gender, DOB, Email for CG, SSN, Address- physical and mailing, Home Phone Number).
On CL Person Type Details, territory start date=enrollment date.
CG Person Type Details requires NPI number.
I'm a CG calling in, my homemaker auth isn't showing up on my app but all of the other authorizations for this CL are showing up. How do you troubleshoot?
Pull them up in U2, check the service codes/auths for the CL, then check the rate codes that the CG has. Send task to CGE if they don't match!
There are 4 ISO documents that are required for compliance when establishing CG/CL relationships.
For an ABT CL, this is the person that signs the documents.
ISO: Exposure control, employee acknowledgement, auth to begin, wage memo
ABT: DCC (program office staff)
A client calls in and complains that they don't have enough hours for their caregiver. Describe the steps CDNV can do to request an increase of hours.
Provide the client with a physician reassessment form to be completed by a doctor or nurse practicioner. Submit this documentation form with an FA-24 marked as a –Significant Change in Condition
For 100 points, tell us what PHI stands for. For another 100 points, tell us what to do if PHI is shared to the wrong person. For an additional 300 points, name 6 examples of PHI.
Protected Health Information. If PHI is shared or leaked, this is considered a HIPAA disclosure or breach. You would reach out to your supervisor to report PHI shared incorrectly.
This is where you can you find formats for tasks that we send to different departments. This is what all department CRM tasks require in the subject line.
Name 3 tasks that are sent to other departments with no repeated categories (ex. deactivation SCF tasks are all considered 1)
(100 points each)
CRM Tasking Spreadsheets. All subject lines require CDNV at the beginning.
This is where you can check why a shift isn't pushing through the system.
Impersonate in U2 (half points) but full points if you can describe where to find the reason in Impersonate OR if you state: U2 in Rule Tester- it will tell you exactly what is wrong and what rule it's breaking
First: I'm a caregiver and I want my pay stub NOW!
Second: I don't know how to make ADP work. It won't let me login. You need to fix it!
First: Walk them through the job aide to help them set themselves up for ADP.
Second: Inform the AC for that area, they will submit an ADP task in CRM and follow up with the CG with further instructions.
Name all of the FA-24 Forms and what they are used for.
6 answers possible for a total of 600 points
FA-24 (ABT/ISO): Updates/Changes to Medicaid based PCS
FA-24C: Skilled Services
FA-24B LRI: LRI unable to provide services so PCA needed
FA-24T: Client transfer to Medicaid or between PT30/83
FA-29B Reconsideration: Client denied for services
FA-29: Data Corrections
These are the CDCN Mission, Vision, and Value Statements. (200 points each)
Mission: To provide care and support for people in their homes and communities.
Vision: To help people live the life they want.
Values: Respect/Integrity/Service/Excellence
These are the three things an expense report requires.
Category, memo, and receipt.