PDP
Non-Waiver services are Medicaid paid services and Waiver services are funded by the HCS program.
If the individual/LAR is not available to sign, what verbiage is used on the signature line?
Unable to sign due to COVID-19
Who is responsible for submitting IPCs to our Data Entry Specialist?
The Provider via fax
How many times should you add your name and team leads name to the Care Teams?
Once
Does the date on the termination form have to match what data is in CARE?
Yes
Who is invited to the PDP meetings?
Anyone the individual/LAR requests and the Provider.
Can the signature dates on a transfer be dated after the effective date?
No, unless it’s an emergency transfer.
When is the Service Coordinator required to complete a Renewal IPC?
If the individual has CDS only.
What are the two billing types used when creating an appointment?
Service Coordination (2000) and SC/Phone&Collateral (2025)
Do you have to revise the plan when closing a case?
Yes and submit any supporting documents to the office staff.
How is the frequency of Service Coordination determined on the plan?
With the SC Assesment
You completed column on on the transfer?
The Service Coordinator
When is an IPC Revision needed?
If a service is being added or deleted.
Where do you link the HCS service in Epic?
Enrollment tab
How long can and individual be on temporary discharge before permanently being removed from the program?
270 days
Between how many days can you hold a PDP meeting?
No earlier than 59 and no later than 30 days.
Where do you get the units entered on the transfer IPC?
From column 5 of the transfer 3616.
What does IPC stand for?
Individual Plan of Care
Is it required to check in an appointment?
Yes
What tab do you complete the Discharge Summay?
Flowsheet
What does PDP stand for?
Personal Directed Plan
How far out should a non emergency transferes be scheduled as the effective date?
Two weeks
When filling in the County section of the IPC, what is the correct information?
Harris
What are the two billing types in the Wrap Up tab?
Type A (2000) and B (2025)
How many months of progress notes are required when permanently discharging an individual?
6 months