Flex Funds
Deadlines
Billing
Burnout/Self Care
100
What are 5 steps in identifying and requesting Flex Funds?
1. Meet with the CFT to determine what is being requested and if any other agency can assist with funding.
2. Update the Care Plan
3. Answer the 8 questions of the Flex Fund Rationale
4. Get a ROI from the guardian.
5. Call the vendor to ensure they can accept payment from a 3rd party.
100
How do I keep myself organized/in compliance with all these deadlines and documentation?
Ideas?
100
Name the different "Initial" billing codes
Initial CFT
Initial CFCP Development
Initial Service
Initial Engagement Codes
100
How do I identify some helpful coping skills that I can use at work?
200
Scenario:
Member, Tonika, is requesting an ipod (haha) to listen to music because it is one of her coping skills. She has anxiety and explosive anger concerns. She is not eligible for services with the Board of DD. Provide a rationale to apply for flex funds to fund this.
Tonika has a diagnosis of Anxiety and explosive anger. Tonika has indicated that listening to music assists her in managing her symptoms in the home and in the community. Tonika will be able to use the Ipod to listen to music before, during, and/or after feeling symptoms of anxiety and/or explosive anger in and outside the home. The use of the Ipod will assist in improving her safety in the home as she will have 24/7 access to music, her coping skill, and may reduce her property destruction, skin picking, and verbal aggression in the home.
200
I just got a case, and I don't see a Safety Plan in SmartCare. The member has been with OhioRISE since last year, what should I do?
Ask the team if they have one being used right now that can be copied onto the Aetna Safety Plan.
Schedule a time to make the safety plan with the member and guardian/caregiver.
200
Scenario:
Tonya completed a CANS reassessment meeting on 8/11/2023. Tonya began entering the CANS and the narrative into the CANS IT system on 8/12/2023. Tonya finished and submitted the CANS in the CANS IT system on 8/13/2023. The completed CANS is now reporting the date of the CANS as 8/13/2023 even though the billing in SmartCare says 8/11/2023.
What date should I enter in SC when I upload the completed CANS from the CANS IT System?
8/11/2023
200
What are some ways I can manage my stress/feeling overwhelmed at work?
- Control: or rather, lack thereof. You feel like you have no prerogative in setting or influencing duties, processes, or deadlines. Focus on what you CAN control. Take a moment to reorganize yourself. Take a moment to shift your focus on to what you can control and..... check in with yourself. How have you been caring for yourself at and outside of work? Have you asked for help? Have you identified what help looks like to you?
Ideas from the team
300
Scenario:
Shelly's CFCP review is due 10/11/23. During the check in meeting with the family on 10/3/23 the family reviewed not having the funds to buy Shelly the compression blanket that she needs to improve her sleep. You (the CC) review the Care Plan and other funding options with the family and determine that Flex Funds may be able to use to get Shelly this item. What billing procedure code do you use for the 10/3/23 check in?
10/3/2023 G9009 Care Plan Review and Update
300
Who should sign the Safety Plan(s)?
Member
Guardian
Care Coordinator
Primary Caregiver
Jennifer Saelens from I Am Boundless
300
A member was transferred onto your caseload from Shelly's caseload. This member has already had OhioRISE services for 9 months.
You leave a voicemail for the family indicating that you are the new Care Coordinator. What billing code should you use for this interaction?
Additional Service G9006
300
What are some Self Care Reminders
You are not alone
You are not the only person who needs self-care or may be overwhelmed at work
You are a person and an equal member of this team.
We couldn't do this without you and you are appreciated every, single day.
400
What items/services can flex funds pay for?
Items/Services that will:
will decrease the need for other Medicaid Services
will promote the youth’s inclusion in the community
and/or will increase the youth’s safety in the home environment
400
What documents are due to be updated every year?
Consent for Treatment
Consent for Electronic Communication
Informed Consent
Releases of Information
400
Do I need to write a billing note for every interaction I have with a member/representative/provider/etc.?
Yes
400
Doesn't self-care mean I am being selfish/I feel so selfish when I engage in self-care.
NO!
Self-care is necessary, not selfish.
Self Care 101 | Psychology Today