OTRs
Emails/Peachstate Program
Case assignment
Monthly Summary
Crisis Plan/Private Insurance
100

OTR stands for

What is Outpatient Treatment Request 

100

How often should you check your email

what is throughout the day

100

When you received a new or transferred case what is the first step

What is Reply, received

100

Monthly Summaries are due

What is CSIs by the 3rd  and

Therapist by the 5th 

100

When is the Crisis Plan complete

What is Initial assessment / reassessment / crisis situation/ discharge from the hospital

200

Who complete OTRs

What is CSIs and therapists

200

When you receive an email, what is required

What is respond RECEIVED stating you received the email

200

If it is a Family Preservation case or Tier case with a Case manager you should

What is Introduce yourself via email/phone

200

Where to send the Monthly Summaries when completed and What is included when sent

What is Region 4 email address /Monthly Summary should be a PDF / Case Manager's email address and name/Client's name and case #

200

Should all clients have a Crisis Plan

Yes (explain) 

300

OTRs are completed when

What is before the units are exhausted or expire 

300

Should you read the entire emails

 Yes (explain) or No (explain)

300

How many days should you schedule the initial section

 What is 7 days

300

Where is a copy of the Monthly Summary located

What is  Ecase "Home Page" under Agency Documents

300

What private insurances Family Ties accepts 

What is Blue Cross Blue Shield / Aetna / Cigna, Tri Care and United Health Care

400

What insurance companies need an OTR

What are CareSource, PeachState & Amerigroup

400

Who sends out the PS list and when is it due

What is Darsha Clark and the last day of the month

400

When do you contact the client/family when a case has been added to your caseload and what is the exception to the rule

What is 48 hours and exception is when Supervisor/Regional Lead asks you to call immediately 

400

Where to upload the Monthly Summary when completed

What is Case Document Section

400

How do you determine if the client has a co-pay

What is Go to ecase and jump to patient and click on patient search

500

What form is needed and what belongs in the summary to obtain more units for MCD clients 

What is Complete a 30-day summary of the client

500

Which assessment is needed for children and adults 

What is CPSS (Children) 

What is PHQ9 (Adults)

500

What are the 3 steps to take upon case assignments

What is check authorizations 

What is review BHA/ Tx Plan 

What is review referral & service authorization 

500

Where do you build the monthly summary

What is you time sheet

500

Can you see the client that has a copay and what is the process to see the client with the copay

Yes (explain) and

What is Inform the client/parent of the copay / copay must be paid first / notify Region 4 to have an invoice sent out electrically