Move in-Funding process
Once pre-approval is received, what is the next step in the move-in funding process
What is completing the Housing Inspection?
What is the first step in the workflow when a new referral is assigned?
What is Initial Outreach
When transferring a call to a CC, what steps should you take before completing the transfer?
What is put the caller on hold and ask the CC if they are available?
What is ECM?
Enhanced Care Management. It is a Medi-Cal benefit that provides intensive, whole-person care management for members with complex needs.
What kind of members apply for CS
members that need housing
Once the CS03 is approved, what three main documents must be sent to the Leads before anything is sent to the Funding Team?
What are the approved CS03 faxed correspondence, Lease, and W-9?
Bonus: The completed template with payment information should also be included.
Even if you speak with a member, what must be received before you move past the initial outreach stage?
What is Member Consent?
How many calls are you expected to make each day?
What is 10 calls per day?
What does an ECM LCM help a member with?
Helping members with their medical and personal needs, like finding housing, getting transportation, scheduling appointments, making referrals, and connecting them with community resources.
True or False: A member must qualify for ECM in order to receive Community Supports.
Community Supports have their own eligibility criteria, and members can qualify for Community Supports even if they do not qualify for ECM.
What should happen if a unit does not pass the housing inspection?
What is correcting all issues, completing a new inspection form showing everything is approved, and then submitting the CS03 request?
Once consent is received, what must be documented inside the referral?
What is the Case Note?
If you are going to be out, what two things should you do to make sure your calls are covered?
What is ask someone to cover your calls and turn on call forwarding.
Who can be referred to ECM?
A member is experiencing homelessness and has complex health needs. What should an LCM consider when determining whether the member may qualify for
What is checking whether the member meets an ECM Population of Focus and the applicable eligibility criteria?
In Jiva, what is the correct path to retrieve the approved CS03 faxed correspondence?
What is Search for the authorization → Open → OK → Workflow → Correspondence → Save the PDF?
After the first case note is completed, what two important items come next in the workflow?
What are the Assessment and Care Plan?
How much time should your daily calls add up to?
What is 45 min a day
How does a member get referred to ECM?
A member can be referred by a provider, social worker, case manager, health plan, or other approved referral source. Members may also be able to self-refer.
A member is experiencing homelessness and needs help finding and securing housing. Which Community Support may be appropriate?
What is Housing Transition Navigation Services?
A member is being paid by direct deposit. What documentation can be submitted to verify the routing and account numbers, and can the information be handwritten or typed manually?
What are a voided blank check OR an official bank document showing the routing and account numbers—and no, the information cannot be handwritten or manually typed.
Where should the initial outreach, consent, case note and assessment be documented?
What is inside the active referral?
When making calls, which system should you never use?
Sprite calling
When should an ECM member be referred to a lower level of care?
When the member no longer meets the need for intensive ECM services, the team should follow the health plan's process for transitioning the member to an appropriate lower level of care or other available support.
A member has already secured housing but needs help maintaining their tenancy, communicating with their landlord, and preventing eviction. Which Community Support should the LCM look into?
What is Housing Tenancy and Sustaining Services?