Perfect PCSP
These have to be Specific, Measurable, Attainable, Relevant, and Time-Bound.
What are SMART goals?
The number of days you have to complete the initial contact for a new FIDE enrollment, and the number of days you have to complete the FIDE F2F new enrollment visit.
What is 60 and 30?
Section of the OCM tool where the Cost Neutrality should be entered based on the person's current group enrollment.
What is the Service Plan Budget Summary?
The number of days that the PISA must be completed after you learn that a person discharged from the hospital or SNF.
What is 2?
People (at least 4) who cannot be a CD worker for a member.
What are the EOR, POA, immediate family, or existing natural support?
Words/abbreviations you never put on the PCSP?
What are "none" or N/A?
This CHOICES benefit should not be utilized when a person is enrolled in the FIDE program.
What is PERS?
The date that should be used when adding a new service line to extend current services with no changes at the annual visit.
What is the day after the end of the current authorized service line? Tip: You DO NOT have to end date current authorized services in the OCM if there are no changes to services made at the annual visit.
Number of days you have to complete a F2F with a member who was admitted to a SNF stay that is not authorized by UHC as the payer source.
What is 10?
The 4 forms that must be updated/discussed for a CD referral.
What are the CDP, CDSAT, CD Rep form, and PCSP?
The number of SDoH areas that must be addressed in Section 11.1 of the PCSP.
What is 4?
These 2 assessments must be completed in what member program?
What is the RSA and POC in the FIDE member program?
The name of the section under an authorized service that should be used to end date a service.
What is the Cadence Info section?
What is 1 business day?
The number of days that CD services must be in place if a person declines interim agency services and the additional requirement regarding visits for this person.
This person cannot be IHR back up.
What is the only natural support person?
The only 2 sections of the FIDE Plan of Care that RSA generated goals should be listed under.
What are "In Focus" or "Out of Focus"?
The number of days from the date of PCSP change that should be used to set an end date for an authorized service, and the number of days from the date of the PCSP change that should be used for the start of a new service.
What is 30 and 31?
The number of days that you have to send the assignment to the ACC if a CIC was identified for a member.
What is the same day?
If CD enrollment is not completed by this number of days for member with interims services, this process must be completed.
What is 90 days and a CD withdraw?
This must be handwritten and never typed in the PCSP.
What is a member/CC signature?
Name 2 FIDE benefits that are similar to CHOICES benefits and can be used to supplement existing CHOICES benefits.
What are PERS, Adult Day Care, In Home Care, and HDM?
The only types (2) of authorized services that can be cancelled rather than end dated when a PCSP change is made to the service.
What are future dated CD or IHR?
Two very important requirements of the 30 day post hospital assessment.
What are in-person and member signature? Also, update PCSP with at least one goal related to the inpatient admission.
The step that a CC must complete if a person's worker quits requiring that a new worker be found, and the number of days that an enrolled CD member has to find a new worker before the CD withdraw has to be submitted.
What are place CD services on hold and 60 days?