All About the Numbers
Number of referrals we can make to the dietitian each week.
7
Sickle Cell Recipients will always be enrolled as Medically Complex
True
Recovery Resource Center
This document must be updated at every visit with the recipient and details goals being worked on with the recipient.
Care Plan/Care Plan Evaluation
Along with production, this must be met monthly for a Case Manager to earn incentive
Quality
Number of calendar days we have to complete an assessment
21
A Case Manager must complete at least 2 calls and a letter for outreach before closing a General and/or Medically complex chart
True
Name of the agency/vendor we have CHWs complete applications for to assist with transportation
KidOne
This can be used in place of a provider's attendance in an MCT
MCT Provider Attestation form
This visit can only be completed/documented as telephonic, even if completed in person.
Interperiodic or Care Plan Review Follow Up
How many months of follow up we would like with a recipient who receives an electronic breast pump
6
In this contract, we can have a recipient enrolled in multiple programs at one time.
False
This is the full name for the acronym ADT
Admission, Discharge, and Transfer
In completing an MCT for recipients stratified as high risk, this visit must be completed first before scheduling the MCT.
1st Periodic
This is the most popular incentive for the Healthy Baby, Healthy Mom Video Series.
$25
Documents used to change a recipients address and report a birth of a baby (2 answers)
295 and 284
A case manager has 7 BUSINESS days to upload consents.
False- 7 Calendar days
Name of plan that Pharmacy can help make for recipients to help with the cost of medications.
Medication Fill Plan
When completing documentation, you always want to add in this information which in turn makes things more individualized.
Person Centered
Non-medical factors that influence an individual's health, well-being, and quality of life.
Social determinants of health
The age at which a personal rep form needs to be signed for someone else to manage the recipient's care:
19
Diaper intake forms must be completed every time you give out diapers
false, only completed at initial distribution for a family
This meeting is held quarterly with our Primary Care Providers to review Medicaid and Program updates.
Medical Management Meeting
This key document is sent to the department for staff to review all visits and when they are coming due.
Super Report
Our program's 3 Quality Improvement Programs are:
Childhood Obesity
Infant Mortality
Substance Use Disorder