Service Plans
The service plan must be developed and signed within
____________ from the date the agency receives the assessment.
30 days
What is the MANUAL VERIFIED VISIT COMPLIANCE THRESHOLD?
To be compliant with the Centers for Medicare & Medicaid Services (CMS) guidelines, the BLTC requires that all PAAs meet an 85% compliance threshold for manual verified visits.
This means all PAAs with manual verified visits above a 15% threshold are out of compliance and will
require improvement.
Can a caregiver start working prior to completing the Provider Training Matrix?
No!
Can a participant receive services while in the community?
Yes! A participant can receive appropriate services while outside of their home. Services could include support with ADLs such as transferring, mobility, toileting, etc. The agency MUST ensure that the Direct Care Professional clearly documents when services are delivered in a community setting.
Who is the Father of the Independent Living movement?
Ed Roberts
True or False
A Communication plan is not a required component of a care plan
False
The communication plan is a required component of the backup plan and must be completed. The communication plan should include instructions on what a participant is to do in the event of non-provision of services. This plan should demonstrate the capability of providing emergency backup and relief services to cover the essential service needs for each participant within a reasonable time frame.
What type of narrative is required on service delivery
documentation and how often?
It is preferred that the Direct Care Professional include a daily narrative outlining the services provided during the shift and participant’s condition. However, at a minimum, a weekly narrative is required. The narrative validates that services were provided and gives the Direct Care Professional an opportunity to capture relevant information, such as a refusal of services.
How does a personal care assistant access their W2?
They can sign up to access it electronically through iSolve. If they don't sign up for it electronically it will be mailed to the address in iSolve before Jan. 31.
How often should a sight visit occur?
Quarterly
What is our simplified mission statement?
Empowering people with disabilities to manage their own lives
All service plans should be written in what type of language?
Understandable language- Service plans must be written in a clear and concise manner. The language should be understandable to the participant and all care providers
IDAPA requires each service delivery record to contain what 6 elements?
1. Date and time of visit: the time of day services are delivered must be identified by A.M. or P.M. unless military time is utilized
2. Length of visit: must include the total time for Attendant Care and Homemaker services
3. Services provided: care tasks provided during each visit made to the participant
4. Narrative: summary comments entered by the Direct Care Professional regarding the
participant’s response to the service(s), any changes noted in the participant’s condition, or any
deviations from the service plan
5. Participant signature and date: this may be captured with a written or electronic signature,
unique login, or voice signature
6. Direct Care Professional signature and date: this this may be captured with a written or
electronic signature, unique login, or voice signature
What tab in iSolve is used to create an offer letter?
E-Forms
Can a consumer have their PCS services done by two different agencies?
Yes
What are 5 core services?
Individual and system advocacy
Peer Support
Transition
Independent Living Skills Training
Information and Referral
What does the BLTC expect on the Service Plan for Risks & Interventions?
It is strongly recommended that the risk and intervention be identified on each care task as applicable but must be, at a minimum, addressed overall.
What are the 6 Federal EVV data elements that are captured each visit?
1. Type of service performed
2. Individual receiving the service
3. Date of service
4. Location of service delivery
5. Individual providing the service
6. Time the service begins and ends
If a Direct Care Professional was trained by another agency, can that training transfer to LIFE?
It depends…Training is not transferable from agency to agency unless the training was completed through the approved online training courses hosted by Home Care Pulse or CareAcademy, and the Direct Care Professional has a certificate of completion for each required course.
When doing your monthly consumer eligibility checks in the medicaid portal, what are the things/areas you should be looking for?
AD waiver (full/partial), SOC, Network, Rate code, anything else that could be informative to us or the participant.
True or False: Aggressive outreach regarding services provided through the center is a requirement of ACL
True
What is the difference between a goal and outcome on the service plan?
Goal- Participant centric goals should be observable and measurable having one or more objectives that lead to the outcome
Outcome- Outcomes follow the direct intention of the goal, but elaborate on the who, what, where, why, and how the goal will be achieved
What is the Threshold Improvement Process? What steps will Medicaid take to ensure we comply?
1. Exception Response form.
2. EVV Action Plan
3. No Improvement=limited enrollment
4. Still no improvement Medicaid Payment hold, limited enrollment, and referral to MPIU
What documentation in required to be gathered to onboard a personal care assistant?
I9, W4, Health Insurance, Health Screening, signed policies, direct deposit
What is PHI and how is it defined within HIPAA?
Protected Health Information
Any information within a medical record that can be used to identify an individual.
What is the definition of Independent within the context of Independent Living Philosophy
Independence implies as nearly as possible the same degree of control and self-determination in day-to-day living processes as are generally available to non-disabled individuals.