Forms
Acronyms
Policies & Procedures
Case Noting
Service Agreement
100

When should the Bestview Cover Sheet be completed by CM and be mailed out to clients?

A. When mailing the DHS 2828B Notice of Action.

B. When CM cannot contact a person to schedule initial or annual visits.

C. When CM need to mail out any of the paperwork listed on page 2 of the Bestview Cover Sheet.

D. All of the Above

E. None of the Above - Only as Needed

D - All of the Above

Bestview Cover Sheet should ALWAYS be completed & be mailed out to the person and/or their guardian each time you mail something to them.

100

CSSP

Coordinated Services & Support Plan

100

What is the email subject line template when CMs are making requests to case aides (through CA support email) to mail out paperwork? 

(County Code) Mail Out (Person Initial) (Person PMI#)


Ex. 082 Mail Out SV 01234567

100

How many days does a Bestview CM have to enter billable activities?

A. Within 3 business days of billable activity

B. Within 5 business days of billable activity

C. Within 10 business days of billable activity

D. None of the Above

A - Within 3 business days of billable activity

100

How many units must CMs authorize for Bestview for CM paraprofessional in a year?

60 units per year

200

TRUE OR FALSE

Medical supply providers need to sign DHS 6791D and submit signed form to CM if the person is getting supplies or medical equipment through that provider.

False

Home delivered meals, CDCS Support Planners, CDCS FMS, medical supply providers, and transportation providers do not need to sign DHS 6791D.

200

COR

County of Residence

200

Per our CCB Allocation Authorization SOP, how many hours max can a CM authorize for respite care - 15 minutes without going through the allocation committee for approval?

4 hours per day

200

What are the 4 "C's" that are considered billable activities in SSIS?

Client Contact, Collateral Contact, Coordination, & Consultation

200
What is the SA Entry Request email subject line template for a person's annual SA renewal?

1. Person's Last Name, CSSP ID#, New Service Year

300

This DHS form MUST always be completed by CM and be mailed to the CDCS participant and/or their guardian to confirm the participant's CDCS actual budget.

DHS 2828B Notice of Action

300

HCBS

Home and Community-Based Services

300

How long does a CM have to mail out the CSSP for a person after their annual visit? 

Completed CSSP need to be mailed out by the last day of the person's waiver span end date to be within compliance.

300
How many minutes minimum can a person work on a person to bill for 1 unit? 

8 minutes


300

What are the required information needed in the body of the email of the SA request?

Person's full name

Person's DOB

Person's PMI#

CM# (if not in the signature line)

Edit information (if applicable)

400

What form is completed by DD CM to request for allocation increase or services for a client who is already on the DD waiver?

A. DD Waiver Request Form

B. DD Waiver Change Request Form

C. DD Waiver Allocation Form

D. None of the Above

B - DD Waiver Change Request Form

400

ICF/DD

Intermediate Care Facilities for Persons with Developmental Disabilities


(Home licensed to support 4 or more people with intellectual and/or developmental disabilities or type of level of care)

400
Can CM approve night supervision based on a letter from a person's doctor or other medical professional?

No. Night Supervision must follow CBSM guidelines and the CM makes the final determination about service approval. Doctors and other medical professionals cannot order waiver services and are not trained in waiver program service criteria.

400

When should a CM use the red paperclip to case note for a client?

A. When the person is homeless

B. When the person is in the nursing facility, hospital, or in jail

C. When CM worked on the person's case for less than 8 minutes

D. All of the Above

E. Both B and C

E - Both B and C

400

For homecare services such as skilled nurse visits, home health aide, and registered nurse/licensed practical nurse, what information need to be included in the service notes section? 

Docter (PCP) NPI# and frequency of service delivery.
500

What form is used to request for county funds for Day Support Services, Employment Services, and Transportation for individuals on Rule 185?

County Funded DSS/ESS Funding Request Form

500

IRTS

Intensive Residential Treatment Services 


(time limited residential treatment for individuals with mental illness)

500

There are 4 phases to the E1MN Employment services process. 

Name all 4 phases AND identify the phase when VRS is involved with job search and stability services.

Engage, Plan, Find & Keep

VRS assists during the "Find" phase.

500

For a CM with a full caseload of 30 or more cases, what is the Bestview expectation of billable activity hours monthly? 

120-125 hours per month

500

How do you authorize Merrick transportation in the MnSP CSSP services tab and what do you include in the service notes section?

Authorized as a lump sum rate.

Service notes need to include the actual # of units authorized from Merrick referral & the .01-unit rate detail.

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