Clinical Eligibility
Why would a consumer switch from ECOP to FEW?
What is the consumer now has MHS and requires a higher level of care than what ECOP offers.
What is the purpose of PASRR?
What is to ensure consumers who require nursing home care are placed appropriately and receive necessary specialized services.
Who is eligible to receive a FEW assessment?
Hint; Has to do with age and insurance
MH member or applicant aged 65 or older, or 60-64 with a disability.
What does CAE stand for?
What is Clinical Assessment and Eligibility
This MassHealth program pays for personal care attendants to help consumers with hands on daily needs.
What is the PCA program.
Personal Care Attendant Program.
The RN determines if the consumer meets this "level of care" for FEW/ECOP.
What is nursing home/facility level of care.
Who needs a PASRR completed?
What is anyone admitting to a Medicaid certified nursing facility.
Consumers must be able to be safely cared for in this setting with waiver supports.
What is home/community setting.
What does ASAP stand for?
What is Aging Service Access Points.
This state agency often partners with MassHealth to administer elder services and case management.
What is an ASAP.
Difficulty managing medications and appointments shows impairments in these more complex daily tasks.
What is IADLs.
200 bonus points if you can tell us what IADLs stands for.
What are two reasons the consumer would require a new PASRR to be submitted into the portal?
What is anytime a consumer discharges to the community or there is a change in status.
FEW may provide this services to give caregivers temporary time off.
What is respite care.
What does HCBS stand for?
What is Home and Community Based Services.
This service coordinates all providers, schedules, and supports for the consumer.
What is case management.
The RN assesses these daily life abilities to determine functional status.
What are activities of daily living.
What is role of the ASAP RN when it comes to PASRR?
What is to make sure SNFs are in compliance with PASRR.
This government program funds the Frail Elder Waiver.
What is MassHealth
What does LTSS stand for?
What is Long term services and supports.
Medication setup, wound care, and teaching fall under this nursing service?
What is skilled nursing.
Nursing uses this standard assessment tool called what?
What is CDS.
200 bonus points if you can tell us what CDS stands for.
Why does a person require a Level 2 PASRR?
What is because they triggered positive on the Level 1.
Walkers, lift chairs, and adaptive equipment are included under this benefit.
What is durable medical equipment.
What does PASRR stand for?
What is PreAdmission Screening and Resident Review.
This LTSS program uses a capitated payment model where the interdisciplinary care team coordinates all benefits, including those in HCBS waivers.
What is SCO.
200 bonus points if you can tell us what SCO stands for.