Financial Eligibility
Who is financial eligibility is determined by?
The HCS Public Benefits Specialist or HCA for MAGI clients.
How often must functional eligibility be determined?
At least annually.
Where do authorizations go from CARE Web?
ProviderOne.
Who should you call if you witness a stabbing in the parking lot?
911
What chapter of the LTC manual is Washington Roads?
Chapter 5A
What is the resource limit for classic MPC, CFC, and COPES cases?
$2,000.
What are the 5 CARE classification groups?
A - ADL, B - Behavior, C- Clinically Complex, D- Cognitive, E- Exceptional
What is the CFC assistive technology SFY budget?
$550
What is the ZIP code for our building?
99217
Where can you find policy and procedure on Nurse Delegation?
Chapter 13
How should you communicate with the Public Benefits Specialist? (Financial Worker)
14-443
What does CPS stand for in an assessment?
Cognitive Performance Scale
What does the auth error "Unable to derive taxonomy" mean?
Provider is not contracted for authorized service.
What is the extension for the IT Help Desk?
122020
What chapter can you find information on notices for ETRs?
Chapter 3
What RACs (used by our office) carry the possibility of a participation?
COPES
What CPS score is required for CARE to place someone into the D - Cognitive Performance classification group?
How do you complete a line split?
Change start or end date and change units, rate, or reason code.
Chief Operating Officer
You receive a report that a CG has been falsely claiming time while the client is hospitalized. What chapter should you reference?
Chapter 28 - Medicaid Fraud.
When should you send a PAN for financial ineligibility?
All MAGI, MPC, and Fast Track cases.
What are the treatments/programs that can place a client into the Exceptional Care classification group with base hours of 327?
Turning/repositioning program and range of motion.
Where can you find detailed policy for authorizations?
Social Service Authorization Manual
How many buildings does FBH have?
21
Where is the Social Service Authorization Manual located?
DDA Intranet