Medical Answering Services
What form do you need to have signed by a physician and uploaded into the MAS portal when a child is traveling out of the Common Medical Marketing Area?
What is, 2020 form
True or False, Medicaid Managed Care Plans have to follow Medicaid guidelines?
What is, True
This is the age I will be when apply for permanent
What is, age 8
What providers should be listed on the MTS?
What is, all medical providers from the DOH 5201 (doctors, MAS, Dentist, SKIP, EI) – also accept: HCBS Service providers, specialty physicians, Medicaid state plan benefits including MAS, SKIP, etc.
Name 3 documents that are required for submission of private duty nursing according to Medicaid guidelines.
What form do you need to have signed by a physician and uploaded into the MAS portal when a child requires additional support while traveling (ambulate, ambulance, etc.)?
What is, 2015 form
What follow up do you have to do after a Gap in Care report is done for one of your children?
What is, follow-up with their parent to get a status report on the Gap in Care and obtain medical documentation if necessary
This program can be accessed only after all funding sources have been exhausted
What is, family reimbursement.
How often should the MTS be reviewed with the family?
What is, at minimum every 6 months or more as needed
True or false? MTS’s can serve as physician orders for private duty nursing
What is, true, many of our families utilize our MTS as a physician order for nursing. However, we recommend that families do not utilize it as a nursing care plan.
What are three items that should be included on a Letter of Medical Necessity for commercial travel?
What guidelines is the Medicaid Managed Care Company follow for E-Mods/V-Mods/A-tech requests?
What is, Department of Health Children’s Waiver Guidelines
This OPWDD form is required to submit with a request for eligibility
What is an OPWDD transmittal form
What diagnoses should be listed on the MTS? Where do you find their up to date diagnoses?
What is, all diagnoses that are listed on their “problems list” from the physician’s office and they should match in SKIP APPS.
True or false? A home assessment can be completed by a respiratory therapist in addition to a CHHA nurse
What is, true
What form is needed to be signed by the physician in order for a parent to get mileage reimbursement?
What is, the physician attestation form
Do you need an HCBS Children’s Waiver service other than Care Management when you have a Medicaid Managed Care Plan?
What is, it depends. If the family is deemed a family of one with active KK codes in ePACES then Care Management can suffice as a waiver service. However, most clients that have Medicaid Managed Care Plans are not family of one.
Before a child transitions to an OPWDD program the family must first go through this
What is the front door
What piece of medical equipment has the parameter of “to administer medication as prescribed by the PCP”?
What is, nebulizer
What does a nurse need to have in order to provide nursing services?
What is, they must have a current LPN or RN License, NPI, and Medicaid Number
What additional items other than mileage can be reimbursed for a trip outside of the Common Medical Marketing Area?
What is, Tolls, Parking, Food, Hotel, Ferry
What is the one exemption code that would preclude a client from having to enroll in a Medicaid Managed Care Plan?
What is, 95 OPWDD Eligibility code
A referral can be made for children needing home modification assessments here
What is Article 16 clinic
Can a child have a ventilator without having a trach?
What is, yes they can have a face mask or nasal cannula
Per the PDN Manual, what must be included in the member’s clinical record?
Current Physician Orders and Treatment Plan, Beginning and ending shift times signed and dated by the nurse, dates and times PDN care was provided and nurse providing care, nursing progress notes, medication administration and treatment records and a copy of the Medicaid PDN prior approval