Diagnostic/Clinical Impressions
How long are diagnoses good for?
1 year; unless it is adjustment disorder (only good for 6 months)
How many hours can you bill for a BHA/SP update?
2 hrs/each service (4 hours total)
Which sections of the treatment plan must be updated when completing a "Service plan update"?
ALL SECTIONS; none should be the same as the previous SP - this includes all goals/objectives/interventions AND face sheet (strengths, needs, abilities, Presenting Problems, etc.)
What does OTR stand for and what is its purpose?
Outpatient Treatment Request; to obtain units to continue therapeutic services
A collection of useful resources and example documents to assist in completing BHAs/SPs
What is the Assessor Resource Folder?
Who can provide a "Verified"diagnosis?
Fully licensed staff members (ex: LCSW)
What is the correct way to submit a reassessment request to Clinical?
Complete the reassessment request form.
True/False: The therapist/assessor determines the goals for the client. Explain
False; the client/family should be the ones identifying goals for themselves in order to participate in the planning of their own treatment.
Where in eCase can you locate OTR submisssions/requests and approval verifications?
Patient side under Documents tab
The assessment tool used in place of CANS/CAFAS for adult clients
What is ANSA?
How do you request a diagnostic update if you notice your client's current dx is expiring soon?
Let region supervisor know to send an email to the Clinical Dept. requesting for a Sr. Licensed assessor to complete a dx update.
The BHA update or Reassessment requires which forms/documents to be submitted for every client IN ADDITION to the biopsychosocial?
C-SSRS, CAFAS or CANS (depending on funder), legal packet
A set of 5 goals that must be included in EVERY treatment plan
What are psychiatric/medical goals?
As a therapist or CSI, when should you submit an OTR and to whom?
All OTRs are emailed to the designated staff prior to the units expiring or when there are two units remaining.
Does Family Ties accept client's with Autism as their primary DX?
NO
Name 2 diagnoses/clinical impressions that require an additional assessment tool to be submitted alongside the BHA/TP
PTSD (CPSS), ADHD (Vanderbilt /Conner's)
Explain when and why a reassessment occurs
To be completed every 6 months to reevaluate the consumer’s progress, setbacks, concerns and issues pertaining to social, medical, emotional, mental and physical needs.
When can you (the service provider) update the treatment plan?
When it is time for reassessment (every 6 months) or when the client/family's needs change and therapist receives permission from client/family to adjust the plan.
Adult clients who request psychosocial rehabilitation services.
If a client endorses SI or HI during an initial or reassessment, what do you (as a therapist or other service provider) do next?
This would necessitate immediate contact with the staff member's Team Lead. The case will be staffed, and Team Lead will provide guidance regarding next steps.
As a therapist completing your own reassessment, do you need to provide a clinical impression?
Yes, if the most recent or verified DX has expired or it is expiring soon (within 14 days).
Name 2 important aspects that should be included in the "Integrated Summary" section of the BHA
The integrated summary is a synopsis of the assessment, making a case for the diagnosis selected, preliminary, or verified.
other answers: hx of mental/medical health; hospitalizations; risk of harm; medications and co-morbidities; household functionality; presenting problems; expectations for services, etc.
What do SMART goals stand for?
Specific, Measurable, Achievable, Realistic and Resourced, Time Limited
For an initial assessment with a 10-year-old client who has PeachState as their CMO, what codes do you use to request CSI and Family Skills training units; how many units of each; and how long will they be good for?
H2014; 48 units; 3 months
H2015; 60 units; 3 months
What is the purpose of the CoC form and which 2 insurance groups do we (Family Ties) have to submit them for?
To ensure Care Coordination with the Primary Care Physician (PCP)for Amerigroup and Caresource.