STAR Kids
What is the SAI submission timeframe?
72 hours
SAI
STAR Kids Screening and Assessment Instrument
MTM
Complete, Upcoming, Complete Late, Overdue
STAR Kids Dashboard
16
Minimum of 16 hours required yearly training for service coordination staff
72 hour supply
MCO must allow 72-hour supply of medication if unable to obtain PA response and emergency situation. 72- hour emergency supply rule.
Form 2067
Case information used to communicate with Providers/Service Providers
MDCP
Medically Dependent Children Program Waiver/SK managed by medical team/RNs
ages 15-21
Must identify transition goals for members ages 15-21
1 Business Day
Contact must be made within 1 business day of notification member discharge/Complete RAP discharge questionnaire
Good Faith Call
You must make 3 attempts if no response from the member and/or caregiver.
Safety/Risk
Crisis Call- must assess the safety of the individual and risk level (plan/intent)
Dynamo
Electronic Health Record with member information/file- PHI, Assessments, Contractual Calls/Visits, etc
AAPCA
Special Population Adoption Assistance and Permanency Care Assistance, outreach within 5 days of enrollment
NMDOH
Non Medical Needs Screening and Referral, completed within 30 days of notification
Monthly Outreach
Intensive Member
HCE
Health Care Equity screening tool for social determinants of heath/non medical drivers of health ie. transportation, housing, food, etc.
28 days
ISP Follow up Call- 3 calls must be made if unsuccessful
CFC
Community First Choice Provides assistance with everyday task Activities of Daily Living (ADLs)
Instrumental Activities of Daily Living (iADLS) Habilitation (as appropriate) Skill acquisition of everyday tasks Additional task identified by State
PCS
Personal Care Services when a member requires help with activities of daily living (ADLs), instrumental activities of daily living (IADLs), or health maintenance activities (HMAs) because of physical, cognitive, or behavioral limitations related to the member's disability or chronic health condition.
One Face-to-Face Visit
Level 3 members require a minimum of one Face-to-Face annually
Important to/for Member
What is Person Centered Approach-Individualized approach to ensure consideration of members needs/preferences/goals "What the member wants, needs, important, etc"
IA
Interval Assessment completed each contractual call/visit, update/review of goals, barriers, medication changes, medical supplies, DME, etc
Categories for NMDOH
Childcare, Housing, Food, and Transportation
ISP
Individual Service Plan submitted within 10 days from SAI. Includes Covered Services, Non Covered Services, Strengths, Supports, Goals, Service Preferences, Roles and Responsibilities for Member/LAR/Others