Mission 1 – Welcome to HSS

Welcome to HSS

100

This program helps eligible Members obtain and maintain stable housing by connecting them with the right supports at the right time.

What is Housing Supports and Services (HSS)?

200

Which statement best describes HSS?

_{A. A housing program that gives Members apartments}

_{B. A Medicaid benefit that provides housing-related services for eligible Members}

_{C. A rental assistance program for anyone experiencing homelessness}

_{D. A temporary shelter program}

B. A Medicaid benefit that provides housing-related services for eligible Members
HSS helps Members prepare for, obtain, and maintain housing. It does not guarantee housing or rental assistance.

300

A reviewer receives a request and immediately starts looking for approval criteria. According to Mission 1, what important question should be asked first?

_{A. What service is being requested?}

_{B. Does the Member meet approval criteria?}

_{C. Where is this Member in their housing journey today?}

_{D. Which notice will be sent if the request is denied?}

C. Where is this Member in their housing journey today?
Understanding the Member's housing journey helps determine which HSS service is appropriate.

400

Why is understanding the Member's housing journey important?

_{A. It helps determine the correct HSS service.}

_{B. It determines the Member's Medicaid eligibility.}

_{C. It determines provider payment.}

_{D. It determines the Member's diagnosis.}

A. It helps determine the correct HSS service.

500

Who determines whether a Member may receive Housing Supports and Services (HSS)?

_{A. The landlord}

_{B. The Member}

_{C. Program eligibility and HSS requirements}

_{D. The provider alone}

C. Program eligibility and HSS requirements

HSS eligibility is determined by Medicaid program requirements and HSS eligibility criteria, not by a landlord, provider, or Member request alone. A Member may request services and a provider may recommend them, but services are provided only when program requirements are met.

The Four HSS Services

100

Which HSS service assesses needs, develops a Housing Support Plan, coordinates services, and supports housing stability?

_{A. Housing Transition Supports}

_{B. Specialized Case Management}

_{C. Housing-Related Deposit}

_{D. Housing Sustainment Services}

B. Specialized Case Management

Specialized Case Management begins with understanding the Member's needs, completing assessments, developing a Housing Support Plan, coordinating services, and monitoring progress toward housing stability.

200

Which HSS service primarily helps Members prepare to move into permanent housing?

_{A. Housing Transition Supports}

_{B. Specialized Case Management}

_{C. Housing Sustainment Services}

_{D. Housing-Related Deposit}

A. Housing Transition Supports

Housing Transition Supports help Members prepare for housing by coordinating activities needed before move-in, such as locating housing, completing applications, coordinating with landlords, and preparing for a successful transition.
Transition Supports help Members get into housing.

300

Which HSS service helps Members remain successfully housed after they have moved in?

_{A. Housing Transition Supports}

_{B. Housing-Related Deposit}

_{C. Housing Sustainment Services}

_{D. Specialized Case Management}

C. Housing Sustainment Services

Housing Sustainment Services help Members maintain stable housing after move-in. Services may include helping resolve issues with landlords, connecting Members to community resources, developing independent living skills, and addressing barriers that could place housing at risk.
Transition Supports help Members move in.
Housing Sustainment Services help Members stay housed.

400

Which statement is true about HSS?

_{A. HSS guarantees housing.}

_{B. HSS guarantees rent payments.}

_{C. HSS may help eligible Members with housing-related services but does not guarantee housing.}

_{D. HSS pays all housing costs.}

C. HSS may help eligible Members with housing-related services but does not guarantee housing.
Using accurate language protects Members from misunderstandings and keeps communications compliant.

500

Which system serves as the official system of record for HSS authorization and documentation?

_{A. FindHelp}

_{B. TruCare}

_{C. Availity}

_{D. Provider Portal}

B. TruCare
TruCare is the official system of record for HSS. It contains the authorization, documentation, notes, workflow, and decision history that supports the Member's case. .

Team Roles

100

What is a referral through FindHelp?

_{A. A request for HSS authorization.}

_{B. A connection to a community resource or service that may help meet a Member's needs.}

_{C. A Medicaid eligibility determination.}

_{D. A housing approval.}

B. A connection to a community resource or service that may help meet a Member's needs.

A FindHelp referral connects a Member with community organizations that may provide services such as food assistance, housing resources, transportation, employment support, or other social services. FindHelp helps coordinate these connections and track whether referrals are completed.
A FindHelp referral is not an HSS authorization. It is a referral to a community resource that may help address a Member's needs while supporting their overall housing stability.

200

During Intake, what is your primary responsibility?

_{A. Decide whether the request should be approved.}

_{B. Build a complete authorization record and prepare it for review.}

_{C. Determine medical necessity.}

_{D. Authorize payment.}

_{Intake prepares the file. Review makes the decision.} 

B. Build a complete authorization record and prepare it for review.
A clean, complete authorization record allows the Review team to make an accurate and timely decision.

300

Who is responsible for helping ensure the Member's record is complete and supports the next step in the workflow?

_{A. Only the Review team.}

_{B. Only the provider.}

_{C. Everyone involved in the workflow.}

_{D. Only leadership.}

C. Everyone involved in the workflow.
Each handoff builds on the previous one. Accurate documentation at every step supports quality decisions and audit readiness.

400

When a Member's situation changes, what should staff do first?

_{A. Assume the original service is still correct.}

_{B. Reassess where the Member is in their housing journey.}

_{C. Close the authorization.}

_{D. Immediately deny the request.}

B. Reassess where the Member is in their housing journey.
Changes in housing status may change which HSS service best supports the Member.

500

Which statement best reflects the HSS team culture?

_{A. Complete tasks as quickly as possible.}

_{B. Focus only on your assigned role.}

_{C. Work together to help eligible Members receive the right support at the right time.}

_{D. Approve every request to avoid delays.}

C. Work together to help eligible Members receive the right support at the right time.
HSS is a team effort. Intake, Review, Outreach, Care Management, providers, and community partners each play a role in helping Members navigate their housing journey successfully.

HSS Eligibility & Member Expectations

100

Who may receive Housing Supports & Services (HSS)?

_{A. Anyone looking for housing}

_{B. Any SilverSummit Member who requests help}

_{C. Eligible Medicaid Members who meet HSS program requirements}

_{D. Anyone experiencing homelessness}

C. Eligible Medicaid Members who meet HSS program requirements
HSS is an optional Medicaid benefit with eligibility requirements. Not everyone requesting housing assistance will qualify.

200

Which statement best describes HSS eligibility?

_{A. Every homeless Member automatically qualifies.}

_{B. Every Medicaid Member automatically qualifies.}

_{C. Eligibility is based on HSS program requirements and individual circumstances.}

_{D. Providers decide who qualifies.}

C. Eligibility is based on HSS program requirements and individual circumstances.

300

If a Member is not eligible for HSS today, what should staff remember?

_{A. They can never receive HSS.}

_{B. Their circumstances may change, and eligibility can be reassessed if appropriate.}

_{C. They should automatically receive Housing Transition Supports.}

_{D. Close the case permanently.}

B. Their circumstances may change, and eligibility can be reassessed if appropriate.
A Member's housing situation, health needs, or other qualifying circumstances may change over time.

400

Which statement best reflects the purpose of HSS?

_{A. Find housing for every Member.}

_{B. Pay rent for eligible Members.}

_{C. Support eligible Members with housing-related services that may improve housing stability and health outcomes.}

_{D. Replace community housing programs.}

C. Support eligible Members with housing-related services that may improve housing stability and health outcomes.
The goal of HSS is to connect eligible Members with services that support obtaining and maintaining stable housing, while improving overall health and well-being.

500

A Member asks, "What should I do if I think I might qualify for HSS?" What is the best response?

_{A. "Just find an apartment first."}

_{B. "Talk with your provider or care team about whether HSS may be appropriate for your situation."}

_{C. "Wait until you are homeless."}

_{D. "You have to apply directly through Nevada Medicaid."}

B. "Talk with your provider or care team about whether HSS may be appropriate for your situation."
Providers and care teams help identify Members who may benefit from HSS and can initiate the referral or authorization process when appropriate.

HSS Mindset and Mission

100

When reviewing a Member's situation, what should staff remember first?

_{A. Focus on the paperwork.}

_{B. Focus on the person behind the paperwork.}

_{C. Focus on closing the case quickly.}

_{D. Focus on billing requirements.}

B. Focus on the person behind the paperwork.
Documentation is important, but HSS exists to support real people experiencing real housing challenges.

200

Which statement best describes the HSS team?

_{A. The team works independently with little communication.}

_{B. The team partners with Members, providers, and community organizations.}

_{C. The team only communicates with providers.}

_{D. The team only processes paperwork.}

B. The team partners with Members, providers, and community organizations.
Successful housing outcomes require coordination across multiple partners.

300

If a Member's situation changes after an HSS decision, what should staff remember?

_{A. The previous decision never changes.}

_{B. The Member's needs should be reassessed when appropriate.}

_{C. The case should automatically close forever.}

_{D. Nothing can be updated.}

B. The Member's needs should be reassessed when appropriate.
HSS supports Members based on their current circumstances and program requirements.

400

After completing HSS Academy, what should every new team member feel?

_{A. They must memorize everything immediately.}

_{B. They understand the purpose of HSS and are ready to build on that foundation.}

_{C. They are ready to independently authorize every case.}

_{D. They no longer need additional training.}

B. They understand the purpose of HSS and are ready to build on that foundation.

HSS Academy is designed to give staff confidence in why HSS exists and how the program supports Members before diving into operational workflows.

500

What is the most important takeaway from Mission 1?

_{A. HSS is primarily about processing authorizations.}

_{B. HSS is a person-centered program that helps eligible Members achieve and maintain housing stability through the right support at the right time.}

_{C. HSS guarantees housing for eligible Members.}

_{D. HSS replaces existing community housing programs.}

B. HSS is a person-centered program that helps eligible Members achieve and maintain housing stability through the right support at the right time.
Mission 1 is about building the right mindset. Before learning workflows, staff should understand that HSS exists to support eligible Members through coordinated, housing-related services that promote long-term stability and better health outcomes.