Services
Deadline
Resources & Forms
Animals
Famous Fairy Tales
100

Staff assist with bath, dressing, personal care, toileting and transfer? 

What is PCA/CFSS? 

100

Within how many days must Initial contact be completed? 

What is 3-days? 

100

What form number to find Support Services Rate Limits? 

DHS 3945

100

This bird is known for its unique ability to mimic human speech.

What is a parrot?

100

This fairy tale features a young girl who encounters a cunning wolf.

What is “Little Red Riding Hood”?

200

Staff assist with light and heavy housework, and laundry? 

What is Homemaker? 

200

QAV must be completed within what months? 

What is 5th, 6th, and/or 7th months? 

200

Where to find program/waivers policies? 

What is Community-Based Services Manual (CBSM)?

200

What bird is known for its ability to swim and dive underwater, and is often found near coastal areas?

What is a penguin.

200

In this tale, three bears discover that someone has been eating their porridge and sleeping in their beds.

What is “Goldilocks and the Three Bears”?

300

What services should CM offers if primary caregiver is absent or needs relief? 

What is Respite? 

300

If case note are not entered within 3 business days, case note must indicate what?

What is a Late Entry?

300

What DHS form to mail out if CM is reducing and/or terminating services? 

What is DHS 2828B (NOA)? 

300

Which bird is the largest bird of prey and is known for its keen eyesight and powerful talons?

What is an eagle.

300

In this tale, a young boy robs from the rich to give to the poor in Sherwood Forest.

What is “Robin Hood”?

400

Name 3 placement services? 

What is Community residential services (CRS), Family Residential Services (FRS), Customized Living (including 24-hour), and Integrated community supports? 

400

When should Support Plan be mailed out? 

What is 10 business day of visit? 

400

CM must attempt 2x within 60 day to get what forms from providers?  

What is a signed Support Plan Signature Sheet? 
400

This fish is known for its clown-like appearance in popular movies.

What is a clown fish?

400

In this tale, three animals build houses of different materials to protect themselves from a wolf.

What is “The Three Little Pigs”?

500

What service option gives a person flexibility in service planning and responsibility for self-directing their services, including hiring and managing support workers.

What is Consumer Directed Community Supports (CDCS)? 

500

After services started, the 245D provider must collaborate a _______ with the person, their supports, and CM to develop a service plan that documents the service outcomes and supports. 

What is a 45-day Meeting? 

500

What two forms to request from 245D providers?

What is Community Services and Support Plan (CSSP) Addendum, Individual Abuse Prevention Plan (IAPP), and/or Intensive Support Self-Management Assessment?

500

This insect is known for its ability to produce light through bioluminescence.

What is a firefly?

500

In this tale, a young boy leads a group of children to the magical world of Neverland.

What is “Peter Pan”?