Community Care Review

Community Care

100

The name of the program where veterans use to schedule with non VA vendors 

What is Community Care?

200

The name of the network for Community Care?

What is Community Care Network (CCN)?

300

Community care plays the role of the ______ in the process for the non VA veteran's care

Approver

400

Community care must be first approved by  ____before a Veteran can receive care from a community provider.

Who is the VA?

500

The third party administrator who pays our claims in community care .

Who is Optum?

Mission Act

100

The date that Mission Act was enacted?

What is June 06, 2018?

500

the number of eligibility that Mission Act allows a veteran to qualify for community care?

bonus: name the eligibility?

what is 6?

Grandfathered

BMI

Quality 

Access

wait time 

drive time

Scheduling

100

The required information when obtaining preferences.

What are date , time, and if a preferred doctor is wanted or not?

200

how many days to act on a consult?

what is 7 days?

300

what status do schedulers look for on the consult tracking list  or in cprs to schedule or act on ?

WHAT IS ACTIVE?

400

THE NPI THAT SHOULD BE UTLIZED EXCEPT FOR CIH CONSULTS.

WHAT IS THE GROUP NPI?

500

NAME THE DOCUMENTATION REQUIREMENTS ONCE A APPOINTMENT IS SCHEDULED IN CPRS.

WHAT IS VENDOR'S GROUP NAME, ADDRESS, PH #,NPI, VA AUTH, FIRST APPT DATE, EXP DATE AND NOITIFICATION METHOD?

HSRM

100

HSRM stands for

What is HealthShare Referral Manager?

200

THE BEST WAY TO FIND A REFERRAL IN HSRM?

WHAT IS BY THE UCID?

300

THE NAME OF THE FORM THAT IS FAXED TO VENDORS AS AN AUTHORIZATION FOR SERVICES AFTER SCHEDULING?

WHAT IS THE OFFLINE REFERRAL FORM?

PPMS

100

The region that Tuscaloosa VAMC is in.

What is Region 3?

200

THE DEFAULTED RADIUS IN PPMS. 

WHAT IS 25 MILES?