Engagement
What is the mandated requirement to call a client as soon as you receive the initial referral email?
Within 24-48 hours
Preferably: IMMEDIATELY.
2 part question:
What does MCO means?
And
What is another word for MCO?
Managed Care Organization.
Insurance is another term for MCO.
What is an Care Plan? And how many goals are encouraged to have on a Care Plan?
A Care Plan is a format in which REALISTIC goals are documented for the CC and the client to work on together within a certain time frame.
List at least 3 goals on the Care Plan.
What does HARP stand for?
Health And Recovery program.
True or False?
We have a grace period to arrive to work.
False.
We are ALL requirement to arrive at work before or at 9am. 😀
During an enrollment what is the name of the form that must be filled out in order to proceed?
PSYCKES Consent.
What must be updated after a significant health event?
Care Plan and the Health Homes Patient Sharing information Consent.
List at least 3 categories that is on the left side of the CARE PLAN Form!
Medications Strengths Barriers Risk Factors Care Manager Care Team Family and Community
2 part question:
What is another term CIN?
Are you able to determine if someone is HARP eligible from looking at the CIN in the RMA system?
CIN=Medicaid #
Yes, in RMA it shows a CORE & HCBS Tab. Plus on overview it shows the HARP Codes.
How long a verbal consent valid for?
We no longer accept verbal consent.
We require only wet or electronic signatures.
***During Covid verbal consents was only good for 30 days.
How many clients are you able and required to enroll within three months?
Unlimited.
No limitations.
What are the exact qualifications for being eligible for Care Coordination services?
Must be 21 and older.
Have active Medicaid Insurance.
Be diagnosed with one serious SMI.(name some examples)
Or
Be diagnosed with 2 chronic medical diagnosis.(name some examples)
If a client states during a visit they no longer what to work on a goal what do you do next?
Document in the note that the client stated they no longer wants to work on a current goal.
Next you go to the Care Plan and change the status of that one goal from Active to Abandoned.
Next six months when you redo the CARE PLAN you remove that old goal.
What consent is required to be signed if the client is or not interested in HARP services when offered?
Functional Assessment Consent
When your in a client's home. Where should you position yourself:
a) Near the door b)Away from the door just incase unexpected guest comes in c) In the hallway?
Always near the door so you can escape immediately in the event of an emergency or dangerous situation arise.
With the Care Plan Goal:
What is the proper format to write a GOAL?
Goal is wanting driver's license.
The client will obtain their driver's license within four months.
Name the 5 Core Services from RMA.
1. Comprehensive Care Management.
2. Care Coordination and Health Promotion.
3. Comprehensive Transitional Care.
4. Patient and Family Support.
5. Referral to Community and Social Support Services.
After six months when its time to review the Care Plan, do you just update the Care Plan that is already there?
Or do you Create a whole new care plan?
Create and entire new Care Plan.
2 part question:
Name all the HARP codes!
And
If the CT has only a H9 code are they HARP eligible?
H1-H8
H9 Code only- The client is not HARP elegible.
When you go to do a visit and the client opens the door sit down at the table and becomes mute and just does not talk, does not address you when you are asking questions what do you do?
Ms. King will determine the BEST answer.
Options:
Assest the area and the client's demeanor ASAP.
Call 911 maybe a medical/psych episode.
Ask the CT what is the matter? If they are ok?
Leave ASAP might be a set up for danger.
During enrollment if a client signs the PSYCKES consent but refuses to sign the other forms what do you do next?
Pause enrollment IMMEDIATELY and explained in order to proceed it is required that the enrollment consents are signed to verify they want to be apart of the program.
What is the difference between the CORE SERVICES:
Comprehensive Care Management?
Care Coordination?
And
Health Promotion?
Ms. Grisella C will provide the answer 😀
With the Care Plan you must always use SMART GOALS.
What does SMART stand for?
Specific
Measurable
Achievable
Relevant
Time-Based
What services does HARP and CORE offers?
Daily Living and Social Skills
Education
Employment
Peer Support
Family Support and Training
Psychosocial Rehabilitation
Community Psychiatric Support and Treatment
Your an Engagement Specialist and was assigned to complete outreach. You notice on EPACES their Medicaid was active. The day of enrollment you go on EPACES to print it out and noticed the client's medicaid is inactive. What, if anything should you do?
Inform your supervisor immediately.
Do not complete outreach as they no longer is qualified to be enrolled under the CC Medicaid department.
Possibly eligible for Non Medicaid.