Name That Service
What is Specialized Case Management?
A. Helps Members find apartments and move
B. Pays approved move-in costs
C. Coordinates housing needs, services, and progress
D. Helps Members maintain housing after move-in
Correct Answer: C: Coordinates housing needs, services, and progress
Why it matters:
Specialized Case Management helps organize the Member's housing needs, services, and next steps throughout the HSS journey.
What is typically the first HSS service in the Member journey?
A. Housing Sustainment Services
B. Housing Transition Supports
C. Specialized Case Management
D. Housing-Related Deposit
What is Specialized Case Management, assessment and coordination through FindHelp referral?
Specialized Case Management is usually the starting point where needs are identified and services are coordinated.
What is a PAR?
A. A housing assessment
B. A provider's request for HSS services
C. A lease agreement
D. A crisis plan
What is a provider's request for HSS services?
The PAR tells the Plan what service the provider is requesting for the Member.
Which document describes a Member's housing situation, needs, and potential eligibility factors?
A. Unified Housing Assessment Tool (UHAT)
B. Housing Support Plan (HSP)
C. Housing Crisis Plan (HCP)
D. Lease Agreement
What is the UHAT, or Unified Housing Assessment Tool?
The UHAT helps establish the Member’s housing circumstances and the needs that may support HSS eligibility.
Which system is the HSS authorization system of record?
A.FindHelp
B. TruCare
C. Teams
D. SharePoint
What is TruCare?
TruCare is the system of record for the authorization, supporting documentation, actions, and final decision.
It is where authorization records and supporting documentation are maintained.
Which service helps a Member find housing and prepare to move?
A. Housing Sustainment Services
B. Housing Transition Supports
C. Housing-Related Deposit
D. Specialized Case Management
What is Housing Transition Supports?
Housing Transition Supports helps a Member search for housing, complete applications, work with landlords, and prepare for move-in.
Complete this Member journey: Specialized Case Management, Housing Transition Supports, Housing-Related Deposit, and then this service....
What are Housing Sustainment Services?
The four services follow the Member from assessment through housing placement and ongoing housing stability.
What information from the PAR should match the authorization shell?
A. Only the Member name
B. Only the requested service
C. Service, dates, units, amount, and provider
D. Provider notes only
What is service, dates, units, amount, and provider?
The authorization shell should accurately reflect the details requested on the PAR.
Which document includes goals, activities, responsible parties, and target dates?
A. Unified Housing Assessment Tool (UHAT)
B. Housing Support Plan (HSP)
C. Housing Crisis Plan (HCP)
D. Prior Authorization Request (PAR)
What is the Housing Support Plan, or HSP?
The HSP turns the Member’s housing goal into clear actions, assignments, and timeframes.
The Housing Support Plan outlines how housing goals will be achieved.
Which platform helps coordinate community referrals but is not the authorization system of record?
A. TruCare
B. FindHelp
C. Outlook
D. SharePoint
What is FindHelp?
FindHelp supports referral coordination, while TruCare remains the authorization system of record.
Which service may pay approved, itemized costs needed to establish a household?
A. Housing Sustainment Services
B. Housing Transition Supports
C. Housing-Related Deposit
D. Specialized Case Management
What is the Housing-Related Deposit?
Housing-Related Deposit may cover approved expenses needed to help a Member set up a stable home, subject to program requirements.
True or False:
Every Member must receive all four HSS services.
What is false?
Members receive only the services that match their individual needs and circumstances.
Why is the PAR received date important?
A. It approves the request
B. It determines eligibility
C. It starts the processing timeline
D. It creates an RFI
What is It starts the processing timeline?
The receipt date is important because it supports eligibility verification, our 2 business day turn around time (TAT), and an accurate authorization record.
The PAR received date helps establish required processing timeframes.
Which document identifies warning signs, crisis responses, and when the crisis plan can end?
A. Prior Authorization Request (PAR)
B. Unified Housing Assessment Tool (UHAT)
C. Housing Crisis Plan (HCP)
D. Lease Agreement
What is the Housing Crisis Plan, or HCP?
The HCP gives the Member and team a practical response plan when housing stability or engagement begins to break down. It helps prepare for housing-related crises and outlines response strategies.
Which role typically builds or validates the authorization shell, uploads documents, and routes the request?
A. Reviewer Staff
B. Intake Staff
C. Provider (CBO)
D. Claims Analyst
What is Intake Staff?
Intake prepares the authorization for review by confirming the request, building the shell, organizing documents, and routing the record.
A Member has not yet secured permanent housing and needs help applying for apartments. What service is most appropriate?
A. Housing Sustainment Services
B. Housing Transition Supports
C. Housing-Related Deposit
D. Specialized Case Management
What are Housing Transition Supports?
Housing Transition Supports focuses on helping Members obtain housing before they move in.
Before Housing Sustainment Services can begin, what generally must happen first?
A. A deposit is approved
B. The Member moves into permanent housing
C. A Prior Authorization Request (PAR) is submitted
D. A Housing Crisis Plan (HCP) is completed
What is the Member moves into permanent housing?
Housing Sustainment Services focuses on helping Members remain housed after housing has been obtained.
Who submits the PAR?
A. The reviewer staff
B. The Member
C. The requesting provider or organization (CBO)
D. Claims staff
Who is the requesting provider (CBO)?
The provider submits the PAR to request HSS services for the Member.
Which document should include rent, lease term, unit information, and parties to the agreement?
A. Housing Support Plan (HSP)
B. Unified Housing Assessment Tool (UHAT)
C. Lease Agreement
D. Housing Crisis Plan (HCP)
What is the lease agreement?
The Lease Agreement documents the housing arrangement and responsibilities of the parties involved.
Which role evaluates documentation, manages RFIs, and supports approval, denial, or escalation?
A. Intake Staff
B. Provider (CBO)
C. Reviewer Staff
D. Claims Staff
What is Review Staff?
Review applies the HSS requirements and determines whether the request can be approved, needs more information, must be denied, or requires escalation.
A Member already moved into permanent housing and needs help maintaining the lease and avoiding eviction. Which service should be provided?
A. Housing Sustainment Services
B. Housing Transition Supports
C. Housing-Related Deposit
D. Specialized Case Management
What are Housing Sustainment Services?
Housing Sustainment Services helps Members remain successfully housed after obtaining permanent housing.
Which service is commonly active when a Housing-Related Deposit request is submitted?
A. Housing Sustainment Services
B. Specialized Case Management
C. No other service is needed
D. Housing Transition Supports only
What is Specialized Case Management:
Specialized Case Management often coordinates and supports the activities associated with deposit requests.
The PAR requests four units, but the authorization shell shows one. What should happen?
A. Approve it as-is
B. Ignore the difference
C. Correct the authorization shell to match the request
D. Close the request
What is correct the authorization shell to match the PAR before routing it for Review?
Intake should correct known shell errors before routing the authorization to Review.
Authorization details should align with the PAR and be reviewed for accuracy.
A Housing Support Plan is missing Member acknowledgment, responsible parties, and target dates. What is the best response?
A. Accept it as complete
B. Ignore the missing items
C. Issue a Request for Information (RFI)
D. Automatically deny the request
What is request the missing required information through an RFI?
An Request for Information (RFI) should clearly identify the specific information needed to complete the review. Key required elements should be present to support a complete and defensible review.
True or False: A final determination should be completed while an active RFI is still outstanding.
A. True
B. False
What is false?
Active RFIs should be resolved or otherwise addressed according to the SOP before completing the review process.