Case Management Entity
Provide case management to CAP/DA beneficiaries
What is a role of a Case Manager?
Which Medicaid beneficiary services is required to participate in EVV?
What is Personal Care Services?
The social worker, nurse and other professional deemed necessary review and analyze the assessment.
What is a multidisciplinary Team?
To safeguard the health and welfare of each approved CAP/DA beneficiary, the State Medicaid Agency, identifies, addresses, and seeks to prevent the occurrence of abuse, neglect, and exploitation (ANE) and other critical incidents.
What is Critical Incident Reporting?
ADL'S
What is Activities of Daily Living?
Ensure waiver and non waiver services are listed annually and during a revision.
What is the Plan of Care?
True or False: EVV started January 1, 2020
What is false?
The individual receives a denial letter and the assessment was denied.
What is Due Process?
Accident or injury resulting in the need for medical care beyond first aid, unscheduled hospitalizations, ER visits not resulting in hospitalization,
What is Level One incident?
IHA
What is In-Home Aide?
Maintain a committee that will support the local program in developing and improving resources.
What is an Advisory Committee?
Individuals who reside in adult care homes and licensed facilities are not subject to EVV requirements
IS EVV required for Adult Care Home Residents?
Identifying MID status, confirming the address and generate the consent packet.
What is processing referrals?
What is Level II reporting?
FWA
What is fraud, waste and abuse?
Provide advisement to a beneficiary directing care.
What is Consumer Direction?
How do Providers register with Sandata?
What is a Provider Survey?
A form that is submitted to the physician or primary care provider.
What is the Physician worksheet (attestation)?
The timeframe in which to make a report.
What is 72 hours?
DSP
What is direct service provide?
This must be met prior to joining the program.
What is Level of Care Criteria?
Will there be a period to work out problems before billing is connected with EVV clock in/out for Aides?
What is a grace period?
Individuals 18 years old and physically disabled, meet level of care and have a reasonable indication of need for HCBS to maintain their community placment.
Who is eligible for CAP/DA services?
This is where I should submit my Critical Incident report.
What is eCAP portal?
AA
What is Administrative Authority?