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Optimal Health Care > CCS Overhaul > Flashcards

CCS Overhaul Flashcards

This is a comprehensive deck of all CCS information

1
Q

CCS

A

Coordinator of Community Services

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2
Q

RCCS

A

Resource Coordinator of Community Services

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3
Q

PSC

A

Peer Support Coordinator

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4
Q

OHC

A

Optimal Health Care

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5
Q

ASD

A

Autism Spectrum Disorder

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6
Q

DDA

A

Developmental Disabilities Administration

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7
Q

RO

A

Regional Office

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8
Q

DD

A

Developmental Disability

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9
Q

ID

A

Intellectual Disability

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10
Q

APS

A

Adult Protective Services

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11
Q

CPS

A

Child Protective Services

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12
Q

PCP

A

Person Centered Plan

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13
Q

AIR

A

Agency Investigation Report

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14
Q

SDS

A

Self Directed Services

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15
Q

Unit requirement per week for full time CCS

A

120 units

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16
Q

What days are considered a billing week

A

Thursday to Wednesday

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17
Q

How many hours do you have to submit activities completed

A

24 hours

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18
Q

What method is used for billing

A

Amount of time spent per person per day

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19
Q

If an activity is completed but it is not billable, where is it noted?

A

Progress notes

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20
Q

Speaking/coordinating to/with DDA is billable (true or false)

A

False

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21
Q

Speaking/coordinating to/with EDD is billable (true of false)

A

True

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22
Q

Billing calculation formula into hours

A

Number of units / 4 x 1.23

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23
Q

What is the minimum amount of time spent on an activity to be considered a unit

A

8 minutes

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24
Q

If activity notes must be submitted after the 24 hour period, what should be approved and completed to submit them?

A

LANS form

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25
Q

FSW

A

Family Supports Waiver

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26
Q

CSW

A

Community Supports Waiver

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27
Q

CPW

A

Community Pathways Waiver

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28
Q

Requirements for FSW

A

Under 21, in need of services

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29
Q

Requirements for CSW

A

Over 21, not in need of residential services

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30
Q

Requirements for CPW

A

In need of residential services

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31
Q

What are the priority categories

A

Current Request
In Services
Crisis Resolution
Crisis Prevention

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32
Q

EDD

A

Eligibility Determination Division

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32
Q

Asset limit for Waiver Packets/Applications

A

$2,000

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33
Q

Documents needed for waiver packet (14 items)

A
  1. MA application is completed and signed.
  2. Freedom of Choice
  3. EDD Release Form
  4. Meeting Minutes
  5. Team Sign In Sheet
  6. Level of Care
  7. EDD Memo
  8. SSI award letter, SSI denial letter or SSI appointment letter
  9. Bank statements (past 3 months)
  10. Medicaid/care card, other insurances if applicable
  11. Waiver Enrollment checklist
  12. DSAT/CDT for traditional OR SDS Budget for self directed
  13. Matrix scores for traditional (varies depending on if the scores are available or if the PCP was submitted w/o a provider)
  14. Approved PCP
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34
Q

Who is a matrix score requested through

A

Telligen

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35
Q

Where are Waiver Packets send for approval prior to submitting to EDD/DDA?

A

CCS Reviews

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36
Q

DORS

A

Division of Rehabilitation Services

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37
Q

URAC

A

Utilization Review Accreditation Commission

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38
Q

Examples of Daily Living

A

Eating
Oral Hygiene
Dressing
Bathing
Continence
Ambulation

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39
Q

PORII

A

Policy on Reportable Incidents and Investigations

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40
Q

FRC

A

Forensic Residential Center

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41
Q

MBON

A

Maryland Board of Nursing

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42
Q

DRM

A

Disability Rights Maryland

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43
Q

OHCQ

A

Office of Health Care Quality

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44
Q

SB

A

Support Broker

45
Q

SMA

A

State Medicaid Agency

46
Q

SRC

A

State Residential Center

47
Q

List of Type 1 Incidents (8 items)

A

Abuse
Neglect
Death
Hospital Admission
Emergency Room Visits
Injury
Medication Error
Choking

48
Q

List of Type 2 Incidents (7 items)

A

Law Enforcement
Fire Department
Emergency Medical Services (EMS)
Theft of property or funds
Unexpected or risky absence
Restraints
Other

49
Q

Examples of “Other” in an incident report

A

APS/CPS
Lack of appropriate supervision
Suicide attempt/threat
Outbreak of a communicable disease
3 internally investigated incidents within a 4 week period

50
Q

How many days after an incident incident report is an agency investigation report completed?

A

10 days

51
Q

Where is an incident report and/or an agency investigation report uploaded once it has been completed or received?

A

AGS Prime

52
Q

What program is utilized for completing incident reports and/or agency investigation reports?

A

PCIS2

53
Q

What does it mean when an individual is forensically involved?

A

The individual has court orders that must be followed in order to transition from a facility to a community based program

54
Q

6 ways to handle conflict

A

Remain calm
Be assertive
Be comfortable
Ask for help
Show concern
Follow through

55
Q

When to report abuse and/or neglect

A

Always

56
Q

What meetings are required to be in person? (There are 2)

A

Initial face-to-face
Monitoring meetings

57
Q

Two delivery model options

A

Traditional
Self Directed

58
Q

When is a support broker required?

A

When an individual has family as staff

59
Q

Is a support broker for the Traditional model or the Self Directed model?

A

Self Directed

60
Q

FMCS

A

Fiscal Management Counseling Services

61
Q

Everyone who is Self Directed is required to choose a FMCS agency (true or false)

A

True

62
Q

Employer Authority

A

“I have authority over who I hire”

63
Q

Budget Authority

A

“I have authority over how much I spend in my budget”

64
Q

Name of the 2 FMCS agencies

A

Arc of Central Chesapeake
GT Independence Inc

65
Q

How do you make a FMCS referral in LTSS

A

Global Referrals
Self Direction Referrals
Add
Input information
Notify FMCS agency

66
Q

EVV

A

Electronic Visit Verification

67
Q

IFDGS

A

Individual & Family Directed Goods & Services

68
Q

IFDGS cap

A

$5,000

69
Q

IFDGS Recruitment and Advertising cap

A

$500

70
Q

What score on the HRST requires clinical review by a Registered Nurse

A

3 and higher

71
Q

What forms are required in a SDS plan?

A

Family As Staff
Participant Agreement Form
Weekly Schedule
Self Medication Assessment
SDS budget sheet
2-level emergency back-up contacts
CDT (if provider is vendor/contractor)

DSAT & SIP - not mandatory but can be utilized to benefit the team

72
Q

How often are in-services monitorings?

A

Quarterly

73
Q

How often are current request monitorings?

A

Annually

74
Q

How often are Community Settings Questionnaires completed?

A

Annually

75
Q

Everyone in services receives a Residential CSQ (true or false)

A

True

76
Q

Everyone in services receives a Day CSQ (true or false)

A

False. Only those who are in a Day Program receive a Day CSQ

77
Q

Are monitorings completed virtually or face-to-face?

A

Face-to-face

78
Q

Are PCP’s required to be completed in person?

A

It is up to the participant and their team

79
Q

How do you log attempts to schedule a quarterly or annual monitoring?

A

Attempted Contacts in the monitoring form

80
Q

How often do you monitor Crisis Resolution once the crisis has been rectified?

A

Monthly for the first 3 months and then quarterly for the remainder of the plan year

81
Q

The individual being served is required to attend all monitoring meetings (true or false)

A

True

82
Q

What are the steps taken if LTSS does not reflect accurate dates?

A

Complete a LTSS HelpDesk Ticket and then notify the CM Program Manager

83
Q

What needs to be completed if you are locked out of a monitoring form?

A

A paper monitoring form

84
Q

You are able to leave sections of the monitoring form blank or write N/A (true or false)

A

False

85
Q

If any answers in a CSQ are marked as “No,” where should justification of this be?

A

The PCP

86
Q

SSPT

A

Supports and Services Planning Tool

87
Q

LOC

A

Level of Care

88
Q

When do you complete a LOC?

A

Initially with the waiver packet and annually after that

89
Q

When do you complete a SSPT?

A

Initially when an individual is assigned to OHC and then again if any information dramatically changes

90
Q

Where do you upload a SSPT once it has been completed?

A

LTSS client attachments and AGS Prime

91
Q

What are the 3 different types of PCP meetings that can be held?

A

Initial, Annual, and Revised

92
Q

Sections of the PCP can be left blank (true or false)

A

False. All sections of the PCP should be completed and if it does not apply to the individual then typing “This does not apply to me” is fine

93
Q

The sections of the PCP can be in list form (true or false)

A

False. All sections of the PCP should be completed in full sentences

94
Q

If someone has an effective date of 10/21/20 on their PCP, what would their annual PCP date be?

A

10/21/21

95
Q

Where do you get the information about an individuals risks?

A

The PCP meeting and the HRST rating areas

96
Q

When can an individual have Rights Restrictions listed on their PCP?

A

When they have the Rights Restrictions in a Behavior Plan or Nursing Care Plan that was approved by a Standing Committee

97
Q

Every Focus Area of Exploration in a PCP is required to have at least one Important To Me and at least one Important For Me (true or false)

A

True

98
Q

What needs to be completed in LTSS 90 days prior to an annual PCP date?

A

The PCP needs to be created in LTSS

99
Q

What needs to be completed at 60 days prior to an annual PCP date?

A

The PCP meeting must be held

100
Q

What needs to be completed at 30 days prior to the annual PCP date?

A

The PCP must be submitted to CCS Reviews and prepared for DDA submission

101
Q

When is the best time to have a PCP pre-planning meeting?

A

At the Quarter 4 Monitoring

102
Q

How many days does a CCS have to rectify a clarification request on a PCP?

A

5 days

103
Q

When submitting a PCP to CCS Reviews for supervisor review, what needs to be attached to the email?

A

PCP Checklist

104
Q

What are the 3 documents that are required in every PCP regardless of the model?

A

DDA Rights and Responsibilities
2 Know Your Rights Forms

105
Q

Signature pages in PCP’s require wet signatures (true or false)

A

True

106
Q

All outcomes in PCP’s should be measurable goals (true or false)

A

True

107
Q

How to make outcomes in PCP’s measureable

A

By explaining the description of the goal in a unit that can be measured (hours per day, days per week, etc)

108
Q

Who receives an Individual Record

A

Everyone regardless of them being in services or current request

109
Q

When is someone considered a TY?

A

When they are transitioning from their Maryland Public Schools into DDA Services before their 22nd birthday

110
Q

TY

A

Transitioning Youth

Optimal Health Care (11 decks)

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