Standardized Plan
Pharmacy
Practices
Behavioral Health
Miscellaneous
100
Who do you send a Med Rec to when completed?
Who is Network Pharmacist and PCP
100
What is an adult patient's co-pay per medication at the pharmacy?
What is $3.
100
How often do you visit a blue practice (Primary Practices) if you have two of them?
What is 2 times a week.
100
Suboxone is used for treating ________.
What is opiate addiction.
100
If you mad an attempted task with a patient, when should you try to reach that pt again?
What is within 2-3 days.
200
What is the CM goal for face to face visits per month?
What is 18.
200
What is the preferred Medicaid inhaled corticosteroid product?
What is Qvar.
200
How many visits does a patient get with their PCP and other specialist each year?
What is 22.
200
What should you use to assess a patients importance and confidence in making a change?
What is Importance and Confidence scales 0-10
200
If you get a referral for a child age 0-5, what should you do?
What is make a referral to CC4C.
300
Who determines the goals
What is the patient.
300
What medication has been shown to decrease the frequency and severity of sickle cell pain crises?
What is Hydroxyurea.
300
For practices, what does PCMH stand for?
What is Patient Centered Medical Home.
300
If a patient has __# or more prescriptions for a narcotic and/or benzodiazepine in a 2 month period of time, they can be referred for the controlled substance lock-in program.
What is 6 or more.
300
How long should a patient stay pending in a case load?
What is 30days or less.
400
Currently by standardized plan, what is the maximum amount of time to pass before a patient's goal must be updated?
What is 90 days
400
Medicaid recipients who cannot tolerate ACE inhibitors because of ____________ may get approval for an ARB.
What is Cough or angioedema.
400
What should happen if a patient doesn't have the practice's name on their Medicaid card?
What is Care Manager or practice should complete a change of provider form and send to DSS.
400
What does SBIRT stand for?
What is Screening, Brief Intervention and Referral to Treatment.
400
Name 2 of the 5 boxes that CM should check when setting a task for Pharmacy Tech to build a matrix?
What is Pharmacy Utilization, TC Med List, TC Case Review/Chart Audit, Tasks with Other, Pending.
500
What is a patient's office copay when visiting PCP?
What is $3.
500
What is the name of a herbal medicine used for depression that should not be taken with SSRIs (Zoloft, Prozac, Paxil)?
What is St. John's Wort.
500
Name at least 2 of 4 quality indicators for asthma patients that are reviewed each year during a practice's annual chart review.?
What is Asthma Action Plan, Continued Care Visit with Assessment of Symptoms, Assessment of Triggers, Appropriate Pharmacological Therapy.
500
What are the 4 elements of MI spirit?
What is Collaboration, Honoring Pt Autonomy, Evocation, and Compassion.
500
What is a patient's ED Copay?
What is $6.