This team will create an authorization for most Authorization Request Templates.
What is the CAT team
100
To receive PAS services the member must score a 24 on this Form.
What is H2060. The impairment and hour/task guideline.
100
Members are scheduled to be contacted based on the level of service the member has. This is the level where the member gets 2 face to face visits a year.
What is level 1?
100
This is the section where you can review medications, add or void medications, and update or add diagnosis.
What is the Clinical Section?
100
When ANE is suspected the SC will contact this service.
What is APS or CPS?
200
When you need to make a home visit you contact this team.
What is the scheduling team?
200
This is the addendum form to the H2060 and it may trigger a referral to Behavioral Health.
What is H2060B.
200
This level of member receives 2 telephonic contacts per year.
What is the contact requirements for Level 3 service coordinators?
200
Before you go out for a visit you will always check this and you can find it in the member section of TruCare .
What is eligibility and benefits status?
200
The SC will contact this department and their manager for suspected Fraud, Abuse, or Waste.
What is the Compliance department?
300
This is a website that can be used by SHP members, we have a special site, or by anyone, when access to community services is needed.
You only use this scoring section if the impairment score is a 3 and this is relevant to only 4 questions.
What is the Support Score?
300
For these services a member has to have a functional impairment related to a medical diagnosis and the forms H2060 and the H2060B are required.
What is PAS and DAHS?
300
In TruCare this is the section you will provide additional information that is not captured elsewhere. Something that may be pertinent to accessing the member's home. This is where to note if it is a companion case with companions Amysis TX #
What is the Alerts section?
300
This is the process where you note ambivalence in a member and you will continue to observe for "change talk".
What is Motivational Interviewing?
400
This is a team that is accessed to help a member get an PCP or specialists referral, a new ID card, etc.
What is Member Services?
400
In this section you need to have another family member or LAR etc. to answer this section and you may answer this section only after trying to get alternative input.
What is the section with questions 21-23 for getting objective data on the clients memory status?
400
This service requires the following forms for initial services:
3050 and 3055, or
3049,3050 and 3055
or 3 months of Nursing notes and MD order for an initial services.
What is DAHS?
400
This is where you document contact in TruCare with a provider or someone other than the member.
What is the General Note section under the Documentation tab in TruCare.
400
This is an approach or process utilized when assessing the member where the is considered the expert on himself and the member's desires, needs and wants are a key component of the care plan.
What is Person Centered Planning?
500
If a member is denied a service this team/ department will process the denial letter?
What is the denial team?
500
On the H2060 you fill out the comment section using this format.
What is the H2060 template?
500
Level 2 members are divided into these three groups for services.
What is
Group 1- Non Waiver receiving LTSS Services
Group 2 - Receiving no LTSS Services – has Behavioral or Substance Abuse Diagnosis
Group 3 - Per State - All Dual members not receiving LTSS Services
500
This is where you document contact with a member when your contact has been with or without and assessment.
What is ABD contact under the Assessment Summary?
500
These are some of the factors to be considered to be culturally competent.