Pre-Admit/Outreach
The code to use when you're trying to reach the client BEFORE consents are signed
What is 430 Outreach with Beneficiary
The name of the button you click when you want to document a session/meeting.
What is "Create Progress Note"
The amount of time a client should/can remain open in the M2M program
What is 9 months
A service that may include communication, coordinating care with other providers, and monitoring access to a service monitoring of individual progress.
What is Case Management
The time frame you have to write a regular (non crisis) progress note after a service
What is 3 business days
The code to use when you're trying to contact someone other than the client before consents are signed
429 Outreach with Collateral
3 things you need to do in CIRCE as soon as the client signs consents
What are the assessment/intake note, treatment plan within a progress note and adding the admission diagnosis to the problem list
The 3 phases in the M2M and SMI Program
What are the Stabilization Phase, Transition Phase and Stability Phase
A service activity which includes assistance in improving, maintaining, or restoring an individual or group of individual’s functional skills, daily living skills, social and leisure skills; grooming and personal hygiene skills, meal preparation skills, and support resources; and/or medication education.
What is Psychosocial Rehabilitation
Charts opened in these 2 months will be reviewed during September CQRT
What are October and July
A code that should NOT be used before consents are signed
197 Informational Note
Where the admission diagnosis, mental health diagnosis and z55-z65 codes are entered.
What is the Problem List
The 2 essential Case Management tasks in the stabilization phase. Stabilization phase = day 1-60
What is connecting the client to a medical home/PCP and ensuring the client has been enrolled in Medi-Cal
A Service activity which consists of development of plans (doesn't have to be a written plan), collaborating on a problem list, approval of plans and/or monitoring of a client’s progress
What is Plan Development
A monthly process where charts are reviewed to ensure that 1. All consents are appropriately signed 2. that a Mental Health Assessment is Completed 3. A Treatment Plan has been written within a PN before Case Management services are provided and 4. The Problem List is up to date
What is CQRT
The number of days an M2M client can remain in "Pre-Admit" before needing to close out the referral
What is 45 days
The name of the list that shows you all the client's assigned to you, their BIS Open date and the date they were last contacted.
What is the "My Open Episodes ONLY" list
The M2M Phase where there should be 2 client contacts and 3 community service referrals made per month.
What is the Transition Phase
This term refers to the number of days (10) after receiving a referral that we MUST offer an intake appointment.
What is Timeliness / Timely Access
7 Elements of a valid ROI
What is the name of the client, their date of birth, who the communication can be exchanged with, the purpose, the expiration date, the client's signature and the date they signed the release
The number of days a SMI client can remain in "Pre-Admit" before the referral needs to be closed out.
What is 60 days.
What is the 1. M2M/SMI Client Phase 2. First Appointment Date with PCP 3. Date Certificate of Achievement Issued 4. Date Housing Obtained
2 things that are specific to the M2M/SMI program that a client must have upon exit.
What is the Certificate of Completion and an Individualized Sustainability Plan
Each year all Alameda County contracted staff need to attend 4 CLAS trainings. The acronym "CLAS" stands for this.
What is Culturally and Linguistically Appropriate Services
The 3 things the state looks for when auditing charts and their definitions.
What is Fraud (intentional deception/misrepresentation resulting in unauthorized benefit), Abuse (reimbursement for services that are not medically necessary or fail to meet professionally recognized standards of care) and Waste (Overutilization or over-delivery of billed services. Misuse of resources)