If a POA letter isneeded for a DSNPmember (not withVSHP), traditionalMedicare, or BConly members, whodo you task?When tosend anUTRletter?How often do yousee your HCBSmember while inthe hospital or NF(despite payorsource)?CLS visitrequirements(include modeand how oftenfor monthly andquarterly).Are observationsand routinescheduledproceduresincluded in thereassessment afterin-pt discharge?How long canmember remainin CDenrollmentbefore beingdisenrolled?What docs,assessments,and visitsneed to becompliant?Does an IEA needto be completed ifmember isreceiving nohands-onservices?IF member lives inCBRA or with arelative/caregiver,and discharges to thecommunity after STS,when does the CCcomplete visit?What is neededfor BCCHOICESapproval prior toa NF admissionfor STS?IF a verbal PCSPis completed for aDSNP or FIDEmember, is itautomaticallytasked?If you answer 'No' toany IEA questions, ithas to beaddressed/supportedin the PCSP? True orFalse?The member's ADL tooland their PCSP (POC -hours requested) needto be within so manyhours of one another.How many hours ofdifference is allowedwithout MDrounds/discussion?When doyoucomplete apost-hospitalvisit?When completing anew member PCSP,do you have totoggle, checking andincluding dates foreach section(Navigating MYPCSP section)?If a member is in aSTS for 60 daysand goes out tothe hospital for afew days, is a newSTS auth needed?If a member, Gp2or Gp3, doesn’tmeet NF LOC andneeds a STS,what does CCneed to do, to getapproved?Do you useadmission/dischargedates forcomprehensive gapsnotes?If you needassistance on ETitem or the process,who should yououtreach (Who isour ET champion)?How long youdo have todocumentyour visit andupload in CA?How long doyou have toreturn yourmember'sphone call?18.) IF memberlives alone anddischarges to thecommunity aftera STS, when isvisit due?When a Gp 1member showsinterest intransitioning, howlong does the CChave to visit themember, completinga transition visit?How manyattempts (includingwhen and who)need to be donefor a non-compliant item tobe compliant?How long do youhave and what doyouaddress/documentregarding the ADTalert for Choice’smember and DSNPmembers?What is duewhen a MIST isdue when amember is in theNF on Medicaredays or STS?Is it requiredthat memberhas a back-upplan to live inthe community?If a POA letter isneeded for a DSNPmember (not withVSHP), traditionalMedicare, or BConly members, whodo you task?When tosend anUTRletter?How often do yousee your HCBSmember while inthe hospital or NF(despite payorsource)?CLS visitrequirements(include modeand how oftenfor monthly andquarterly).Are observationsand routinescheduledproceduresincluded in thereassessment afterin-pt discharge?How long canmember remainin CDenrollmentbefore beingdisenrolled?What docs,assessments,and visitsneed to becompliant?Does an IEA needto be completed ifmember isreceiving nohands-onservices?IF member lives inCBRA or with arelative/caregiver,and discharges to thecommunity after STS,when does the CCcomplete visit?What is neededfor BCCHOICESapproval prior toa NF admissionfor STS?IF a verbal PCSPis completed for aDSNP or FIDEmember, is itautomaticallytasked?If you answer 'No' toany IEA questions, ithas to beaddressed/supportedin the PCSP? True orFalse?The member's ADL tooland their PCSP (POC -hours requested) needto be within so manyhours of one another.How many hours ofdifference is allowedwithout MDrounds/discussion?When doyoucomplete apost-hospitalvisit?When completing anew member PCSP,do you have totoggle, checking andincluding dates foreach section(Navigating MYPCSP section)?If a member is in aSTS for 60 daysand goes out tothe hospital for afew days, is a newSTS auth needed?If a member, Gp2or Gp3, doesn’tmeet NF LOC andneeds a STS,what does CCneed to do, to getapproved?Do you useadmission/dischargedates forcomprehensive gapsnotes?If you needassistance on ETitem or the process,who should yououtreach (Who isour ET champion)?How long youdo have todocumentyour visit andupload in CA?How long doyou have toreturn yourmember'sphone call?18.) IF memberlives alone anddischarges to thecommunity aftera STS, when isvisit due?When a Gp 1member showsinterest intransitioning, howlong does the CChave to visit themember, completinga transition visit?How manyattempts (includingwhen and who)need to be donefor a non-compliant item tobe compliant?How long do youhave and what doyouaddress/documentregarding the ADTalert for Choice’smember and DSNPmembers?What is duewhen a MIST isdue when amember is in theNF on Medicaredays or STS?Is it requiredthat memberhas a back-upplan to live inthe community?

Q&A BINGO - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. If a POA letter is needed for a DSNP member (not with VSHP), traditional Medicare, or BC only members, who do you task?
  2. When to send an UTR letter?
  3. How often do you see your HCBS member while in the hospital or NF (despite payor source)?
  4. CLS visit requirements (include mode and how often for monthly and quarterly).
  5. Are observations and routine scheduled procedures included in the reassessment after in-pt discharge?
  6. How long can member remain in CD enrollment before being disenrolled?
  7. What docs, assessments, and visits need to be compliant?
  8. Does an IEA need to be completed if member is receiving no hands-on services?
  9. IF member lives in CBRA or with a relative/caregiver, and discharges to the community after STS, when does the CC complete visit?
  10. What is needed for BC CHOICES approval prior to a NF admission for STS?
  11. IF a verbal PCSP is completed for a DSNP or FIDE member, is it automatically tasked?
  12. If you answer 'No' to any IEA questions, it has to be addressed/supported in the PCSP? True or False?
  13. The member's ADL tool and their PCSP (POC - hours requested) need to be within so many hours of one another. How many hours of difference is allowed without MD rounds/discussion?
  14. When do you complete a post-hospital visit?
  15. When completing a new member PCSP, do you have to toggle, checking and including dates for each section (Navigating MY PCSP section)?
  16. If a member is in a STS for 60 days and goes out to the hospital for a few days, is a new STS auth needed?
  17. If a member, Gp2 or Gp3, doesn’t meet NF LOC and needs a STS, what does CC need to do, to get approved?
  18. Do you use admission/discharge dates for comprehensive gaps notes?
  19. If you need assistance on ET item or the process, who should you outreach (Who is our ET champion)?
  20. How long you do have to document your visit and upload in CA?
  21. How long do you have to return your member's phone call?
  22. 18.) IF member lives alone and discharges to the community after a STS, when is visit due?
  23. When a Gp 1 member shows interest in transitioning, how long does the CC have to visit the member, completing a transition visit?
  24. How many attempts (including when and who) need to be done for a non-compliant item to be compliant?
  25. How long do you have and what do you address/document regarding the ADT alert for Choice’s member and DSNP members?
  26. What is due when a MIST is due when a member is in the NF on Medicare days or STS?
  27. Is it required that member has a back-up plan to live in the community?