Benefits
What are the plans specially for the seniors age 65+ [bonus: name both]?
MN Senior Care Plus / MSC+ & MN Senior Health Options /MSHO
What is the name of the program for Members who are limited to one primary care provider (PCP), one hospital/ER, and one pharmacy?
A: Restricted Recipient Program (RRP) as seen in MN ITs
The Support plan will be reviewed at following timeframes ___
annually and mid-yr (5-7 months after assessment)
What is MnCHOICES?
MnCHOICES is Minnesota’s assessment and support planning system used by counties, tribal nations and managed care organizations.
True or false: For both Senior plans, Care Coordination is assigned based on Member’s County of Residence (COR).
False. COR = SNBC; PCP = both Senior plans
What are the plans referred to as “duals.” [bonus: name both]?
Connect + Medicare /C+M and MN Senior Health Options /MSHO
What system is used to check Member eligibility?
MN ITs
When do CCs use SMART goals?
when writing/adding goals on Support plan
Using what member identifier is the most accurate to use when locating a member?
PMI
What is the name of the staff roles who helps Care Coordinators with various tasks?
Associate Care Coordinator / ACC
Various preventative exams, screenings, and tests are available for the Senior population. Locate the website then name 3+ examples.
Annual check up/wellness visits. Diabetes: A1C, eye exam, urine protein. Cancer: mammogram, colonoscopy. other: dental.
EW, CADI, DD, and BI are types of ___(fill in the blank) ________
waivers as seen in MN ITs
Charlie has been a MSC+ Member for 5 yrs. If his Health Risk Assessment (HRA) was
completed on 6-1-2025, when is the assessment due next year?
5-31-2026
What other search criteria can you use in the 'Advance Search' section?
PMI, DOB, Medicare ID
What does SCARF stand for?
•Status – power, turf, influence, meaningful work, identity
•Certainty
•Autonomy
•Relationships
•Fairness
What is the name of drugs and products that are available for purchase without a prescription.
Over the Counter (OTC) Drugs.
What do CCs do during the 90-day grace period when a Member is ineligible?
check MN ITs, notify mmbr, document in GC, cont. to check MN ITs
Ensure identified needs are addressed on the support plan with goals, supports, services
Where will you find the plan information within the member record?
Located under 'Health Information'
What is reframing?
Reframing is seeing the current situation from a different perspective.
Where can a CC find info about the Over the Counter (OTC) items Member’s can access? Locate the document then name the benefit.
Spark: Benefits, Perks & Member Handouts > Drawer: Benefits & Perks > Document: Healthy Benefits+ Over-the-counter (OTC) Catalog: MSHO and Connect + Medicare
Healthy Benefits+ Over-the-counter (OTC) Catalog: MSHO and Connect + Medicare
Who pays for EW services?
the health plan as seen in MN ITs
What are these all examples of?
1. In progress (editable)
2. In progress-Assessment complete (editable)
3. Plan Ready (locked)
4. Plan Pending (locked)
5. Request Clarification (will move SP back into In Progress-Assessment Complete unlocking the document)
6. Plan Approved (Closed. Would require a supervisor or ticket to DHS to unlock)
What status does the MnCHOICES Assessment need to be in prior to initiating a Support Plan?
What is resistance?
A reaction to an emotional process. A predictable and natural part of the change process.