Sprite
What is timely outreach for ECM and CS members?
Contacting new members within 24–48 hours of referral
What should the Request Type be when submitting a referral request? (pre or post)
Pre Service
Can members have ECM services and CS services at the same time?
Yes!!
What is the name of CS01, CS02, and CS03 services
Tenancy, Transition, Deposits
What is the minimum daily call quota
10 calls
What is the first Sprite task after consent is received?
Logging consent under the referral
What should you do if member is showing ineligible in Jiva
Call them immediately and have them reach out to medi-cal to re activate their services
What is the correct service type when requesting ECM services in jiva
ECM02
What is the first step we should take when we think member is ready to be funded?
pre approval email to leads
What is the maximum number of hours you can have between calls
3 hr call gap
How many times do we need to reach out to member before we can discontinue
6
What document from Jiva needs to be sent to funding team when requesting funds?
Episode Abstract
When do we need an ROI
Obtain ROI when sharing member information with external providers
Which 2 CS authorizations cannot be authorized at once?
CS01 and CS02
How late can your first call of the day be?
11 AM
What should you do if member does not want services?
Services should be discontinued in Sprite and disenrollment form should be sent to HP
Where do you find the due date for a CS03
by opening episode > service request
Name 2 examples a member could qualify for ECM services
experiencing homelessness, those at risk for avoidable hospital or emergency department use, people with serious mental illness or substance use disorders, and children/youth with complex conditions, among others.
What are the two required eligibility criteria for the housing benefit?
This member must have both documented clinical risk factors and be experiencing or at imminent risk of homelessness to qualify for housing benefits.
What is one of the first things we should always say when we are calling people?
Calls are being recorded
First step you should do after CS03 is approved
Add HD referral in sprite
Name the 4 things needed to get deposit approved on a CS03
1. lease
2. HSP
3. Habitability form
4. List of expenditures
what time frame should the assessment and care plan be completed? (2 different answers)
assessment- should begin within 30 and completed within 60
care plan- needs to be completed by 90 days
What is the difference between CS03 and CS03A
CS03A is an informational code that tells us member is eligible to be funded if we collect/submit everything correctly on a CS03
how many 3 hr call gaps can you have in 1 day?
NONE