Form 2060
Cutting up food is part of this task.
What is meal preparation?
Two workdays
This person cannot be the paid attendant under PHC or CAS, but could under FC as long as there is an unmet need.
Who is spouse of the PHC or CAS individual?
Who is the Employer or LAR?
Form 2065-A
What is the form used to notify the individual of eligibility, ineligibility, or changes in their service?
This section of the 2060 is always completed first before any other section of the form.
What is the Impairment Column?
Alcoholism, dementia, effects of medication
What are Physiological Triggers
The chart in this handbook section is used to determine do not hires.
What is handbook section 2514?
CDS Overview Form
What is the Form 1581?
Form 2314-C
What is the form used along with the 2314 when conducting monitoring contacts for an individual using the CDS option?
These four tasks have a support score to determine priority status.
What are feeding, toileting, transfer, and meal preparation?
Eye Contact, use a calm voice, be respectful
What are Communication Techniques?
An applicant must meet these three criteria to be eligible for services.
What are Financial Eligibility, Functional Eligibility, and Unmet Need.
Must send in the quarterly budget reports
Who is the FMSA?
Form 1584
What is the form used to give individual requesting services or the individual receiving ongoing services the choice in participating in the CDS, SRO option or the Provider Agency Option?
These are the only tasks that can be coded as "N/A" in the Service Arrangement Column.
What are Exercise, Walking, and Assistance with Medications?
Embarrassment, ageism, anger
What are Social/emotional Triggers
If a caregiver quit employment to care for the applicant, the caseworker must obtain verification that the individual quit employment within how many days of the application date?
What is 30 days before or after application date?
(For ongoing cases within 30 days of the request for the change.)
Must be used to document the service back up plan developed by the employer or DR for each service identified as "critical" to health, safety or welfare when service delivery is interrupted
What is Form 1740?
Form 2059-W
What is the form used for summary of individual's needs for services worksheet?
Record this information on the 2060 when there are multiple people in the household receiving services.
What are companion case name, companion case number, and companion case time for household tasks?
Preserves memory, is a policy requirement, allows others to see what has taken place within the case
What is Documentation?
These seven reasons are the only reasons why someone can be documented as a do not hire.
What are:
Abused, neglected, exploited, as substantiated by APS
Parent of minor child
Spouse in PHC/CAS
Unwilling household member
Caregiver support
Individual designated
Caregiver/paid attendant at reassessment?
Current Rate for CDS Non Priority and Priority
What is $10.55 for Non Priority and $10.77 for Priority
Form 2058
What is the form used for documenting case activity?