Contract Scope & Deliverables
What is the service provided by Medical Day Care Case Management Agencies?
What is case management?
These state rules govern the MDCSW program
What is COMAR?
This staff member works directly with people served and develops the care plans.
What is the case manager?
This agency completes the medical eligibility assessment
What is the Local Health Department (LHD)?
All case notes and billing are entered into this system.
What is LTSSMaryland?
This plan outlines the goals, services, and supports of people served.
What is Person-Centered Plan of Service (POS)?
This planning approach centers participant choice and goals.
What is person-centered planning?
This role oversees staff and daily operations.
What is the supervisor/program manager?
Case managers must make initial contact within this many days.
What is fourteen (14) days?
Documentation must clearly explain what was done and why/
What is clear and descriptive documentation?
Case management services are billed using this time unit.
What is 15-minute unit?
Case management must avoid steering people served to specific providers. This is called being____
What is conflict free?
What is the first step after receiving a referral?
What is contacting the person served?
This form confirms the participant chooses community services.
What is the Freedom of Choice form?
Activities shorter than this are billable.
What is less than 8 minutes?
This rule means service in the community cannot cost more than nursing facility care
What is cost neutrality?
Most reportable events must be submitted within this timeframe.
What is three (3) business days?
This step includes identifying goals, strengths, risks and services
What is POS development?
This questionnaire helps confirm community setting compliance
What is the Community Settings Questionnaire (CSQ)?
The POS must be submitted within this many days after assessment completion.
What is twenty (20) days?
This system is used to document services, submit plans, and bill.
What is LTSSMaryland?
What law protects the health information of people served?
What is HIPAA?
This ensures services continue to meet the needs of people served over time
What is ongoing monitoring?
This plan must be reviewed and updated at least annually.
What is POS?
The records of people served must be kept by the provider for this many years.
What is six (6) years?