Redeterminations
What are the two parts of the redetermination that a CM must complete?
Medical and Assessment
True or False: Services can begin before Reinstatement is submitted to and approved by ADSS and AMA
True
A Readmission can be completed to get a client back on the program if they have been on the program within the last ________?
Year
What is the minimum age for a potential employee to work for the client on Personal Choices?
18
What does "DSP" stand for?
In order to add or remove a criteria on the original medical, the CM must do what?
True or False: A Reinstatement requires a new medical to be completed by the MD
False
The previous medical, even if older than 90 days, will suffice
A CM will need to complete a Readmission instead of a Reinstatement if the client has been in the Nursing Home for over ___ days.
99
Will give credit for "100 days"
What Medicaid Waiver service does Personal Choices not provide?
Skilled Respite
A DSP aid can accompany clients to the grocery store, bank, doctor's office appointment, etc, by meeting them there but cannot ___________.
Drive the client
Where would a CM locate a client's redetermination date?
Double Points: Where would a CM find the MOST ACCURATE entry for the redetermination month?
FamCare Caseload Screen, FamCare Demographics, AIMS-2 screen in AIMS
Double: AIMS-2 screen in AIMS - because the ADSS RN updates this information to ensure it is correct
A client contacts you and lets you know they will be discharging from the nursing home facility tomorrow. When is the earliest their MW services can resume?
Thursday, the day after NH discharge
On the last page of the Assessment, services will be marked as ______ instead of uses
Needs
True or False: Start dates for Personal Choices services change after a redetermination approval
Falses
True or False: Emails to the DSP containing client information would need to be encrypted
True
Only emails within SARPC do not need to be encrypted
Following a redetermination approval, what four documents need to be sent to the DSP?
SPA, POC, HCBS Assessment, and Medical
If a caregiver is listed on the assessment as assisting with care, they must also be listed on the _________?
Care Plan
2. The client's LTC end date occurred while the client was in the NH (could not complete redetermination)
In order to increase a Personal Choices client's hours by the following month, the CM must notify the PC Counselor by what date?
15th of the month
Deanna prefers the 13th or earlier though
A DSP aid is only responsible for cleaning _________
The client's area