MyHR
The new habit that you need to adapt for MyHR.
What is clocking in/out daily and at lunch.
True or False: Coordinators no longer access the OCM tool in the PCSP or SPM tool.
What is true?
These have to be Specific, Measurable, Attainable, Relevant, and Time-Bound.
What are SMART goals?
These two things are required for documentation of follow up or interventions completed related to redetermination.
What are an activity and the redetermination template?
The name of the form that a member must sign in-person for a voluntary disenrollment.
What is the TN ECF/CHOICES Disenrollment Request Form?
The name of the application in MyHR that you use to clock in/out.
The name of the tool used to add up the cost for each service and the total cost for all member services before entering services on the PCSP.
What is the Authorization Calculator?
These are no longer required on the PCSP.
What are summary statements?
The date used to place services on hold if a member loses eligibility due to redetermination unless you are notified prior to that eligibility end date.
What is the date you are notified of the loss of eligibilty?
The name of the new form that must be completed if a member who was receiving CD services disenrolls from CHOICES.
What is the TN Request to Withdraw from Participation in Consumer Direction Services form?
The name of the application in MyHR that you use to make corrections to your timesheet and/or report PTO.
What is Time and Absences?
Version 11
What is the version of the current Authorization Calculator?
These statements are still required in the goals.
What are "I will" statements?
The number of days that a gap in eligibility can be without having to treat a member as a new enrollee.
What is 30 or less?
The first step required if a member has a denied Group 2 PAE but is pending Group 3 enrollment.
What is submit a disenrollment assignment to the CMA team?
The day and time you should ensure all corrections have been made to your timesheet and submit for manager approval.
What is noon on the Monday of pay week?
What are enter the program and enter the Group?
This should be answered thoroughly and with quality documentation, but only this should be answered.
What is the question?
The 4 steps required when a HCBS member loses eligibility.
What are place services on hold, notify the provider of the member's loss of eligibility, encourage member to appeal, and document your follow up?
This important step is required after sending the disenrollment assignment to the CMA team if a member has a denied PAE and does not meet Group 3 criteria.
What is place services on hold?
The new name for paychecks in MyHR.
What is payslips.
The name of the list used to ensure everything that is needed for authorization has been updated on the PCSP before completing the PCSP.
What is the Superb 7?
This statement is no longer required throughout the PCSP.
What are "no unmet needs" statements?
The termination date.
What is the end of the month following a member's redetermination month if the packet is not submitted to TennCare.
This is required to be documented in your template if a member has a denied PAE.
What is the PAE control number?