Stages of Change
Level of Care
Dimensions
Concurrent Reviews
Misc
100

Name the first stage in the 5 stages of change

What Is Precontemplation

100

What is the MOST intensive level of care under ASAM?

What is level 4.0

100

The ASAM dimension that measures the member’s awareness of the problem, level of reluctance or ambivalence, and internal motivation to remain sober is

What Is Dimension 4

100

When there is a concern about the quality of the care being provided what do we offer to the provider?

What is a peer to peer
100

Alcohol withdrawal can result in death, and the ____ assessment can assist in evaluating symptoms

What is CIWA

200

In this stage you are aware of some pros and cons of substance  use but feel ambivalent about change.

What is contemplation stage

200

This level of care clinically managed high intensity residential services. These services are designed for people with serious psychological or social issues who need 24-hour oversight and are at risk of imminent harm.

What is 3.5 level of care

200

Dimension 3 assesses for

What Is Emotional/Behavioral/Cognitive Conditions and Complications 

200

What do we call it when a patient moves to a lesser intensive level of care at a facility? 

What Is Called a Step Down
200

KY Medicaid team is using this edition of the ASAM criteria

What Is the 3rd Edition

300

You’re in this stage if you’re implementing your plan and are actively involved in taking steps to change behaviors by using a variety of different techniques.

What is Action Stage 

300

Levels 3.1, 3.3 and 3.5 are varying intensities of what ASAM level(s) of care?

What Are Residential Levels of Care

300

Stages of Change model is used when assessing concerns in which Dimension?

What is Dimension 4

300

If a case was approved for 21 days but denied 7 after peer review, what status is this case?

What is Partially Approved Denied

300

The goal of ASAM criteria is to have patient's in ____ restrictive level of care as possible

What Is Least Restrictive

400

This stage begins once the user has decided to change and begins to plan steps toward recovery.

What is Preparation Stage

400

This level of care is about early intervention which can consist of assessment and education for people at risk of developing a substance use disorder

What is level 0.5

400

A patient with alcohol use disorder and opioid use disorder also has a medical history of hypertension and insulin dependent diabetes. In which dimension do we place this information?

What Is Dimension 2

400

What day of the week is it most appropriate to use BHM if no internal MD is available?

What is Friday

400

Which substances’ withdrawal symptoms DO NOT have the potential to cause death if stopped immediately and do not need to be medically managed?

What Is Opiate Withdrawal

500

Someone that is monitoring themselves to stay on track is in what stage of change

What is Maintenance Stage 

500

This level of care is targeted for providing treatment designed to move at a slower pace, for people with cognitive functioning issues, including people with traumatic brain injuries, the elderly, or people with developmental disabilities.

What is 3.3 level of care

500

In order for an adult to meet ASAM criteria for Level 3.3 Clinically Managed RTC for members with cognitive issues, a member must meet criteria in how many of the 6 possible dimensions:

What are all 6 dimensions

500

Providers have a right to request this within 7 days of denial if a P2P was not offered prior to an adverse determination

What Is a Post Determination P2P

500

If a program is seeking an ASAM certification, they go through an application with an organization known as what? 

What is CARF