2026 Goals
The contact for what type of healthcare provider should be updated in the plan of care for every participant
Primary Care Provider
How many days before due date can you call a 90 day call for compliance
14 days
What website is used for completing incident reports?
HICIS
Where can in network providers be located?
Keystone provider portal
When is a trend report needed?
For every fourth and subsequent incident report in a 12 month period
How many days before due date can you visit a CNA for compliance
60 days
When are progress notes due?
Within two business days
You have ____hours to reach out to a participant when you get a CIS email
24
Where can supplies and print requests be submitted?
Associate Services Sharepoint
When should a trend report be uploaded?
Before or at the same time as the incident report.
Initial case assignment must have the initial visit in the community within how many Days of Enrollment
5 days
How often should the Meals survey be completed for those receiving home delivered meals?
Annually
You have ___ hours to input an CIS in once you find out.
48
What document must be provided to all participants who are a fall risk?
Fall prevention flyer
What should be listed next to each incident on the report for a hospital or ER visit?
Date, reason, hospital name
What model of care option should be discussed with participants due the 90-day quarterly call, 180 Day Care Plan review and the Annual Assessments.
Self-directed services/Tempus
The Grievance appeal process must be requested within __days to keep current services?
10
Once an incident report has been created, the final section should be initiated within ___hours
24
What is the program that providers support to participant caregivers?
Carallel
Where can information on what trend reports due be found?
Trend Report Sharepoint
A type of Medicare Advantage (Part C) plan designed for individuals who qualify for both Medicare and Medicaid ("dual eligibles"). These plans offer coordinated care, covering standard Medicare benefits plus extra services like dental, vision, and transportation at no additional cost
DSNP
How often does every participant needs to be contacted routinely.
Monthly
What type of assessment does the participant have the right to refuse after going to the hospital or having a serious emergency room visit?
Trigger event assessment
Who is responsible for reviewing completed trend reports?
Supervisor