Benefits | Caregiver Resources | Barriers | Are you Smart | ADLs |
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What is true
True or False: Benefits related to the member treatment plan are needed to be documented to satisfy the NCQA factor of evaluation of available benefits
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What is false
True or False: The documentation can be the same for the caregiver narrative and CM evaluation to meet NCQA requirements
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What is true
True or False: Barriers are something that interferes with or prevents progress to meeting the goal.
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What is prioritized
What does NCQA require for goals besides being SMART?
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What is false
True or False: Caregiver resources are required to be included in the ADL documentation section
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What is false
True or False: In the CMA, the treatment plan is referring to what the CM and the member are going to work on together
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What is poor food choices, lack of motivation to change eating habits, lack of motivation to exercise.....
Name one possible barrier for this goal: Reduce A1C to less than 7
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What is false
True or False: A goal written as an all or nothing such as obtain meds or make appointment is considered measurable
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What is false
True or False: Limited food supply is assessed in the ADL section of the CMA
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What is SNF days and PT/OT visits
Name 2 examples of specific benefit limitations
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What is member's primary concern
Goal #1 in the care plan is always aligned with this
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What is false
True or False: Preparing meals is a mandatory ADL to be documented on EVERY member
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What is • SPECIFIC, MEASUREABLE, ATTAINABLE, RELEVANT/REALISTIC, and TIME BOUND
What does the acronym SMART stand for?
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What is type of assistance and reason for assistance
The two additional pieces of information you must document when a member has been identified to have a deficit of an ADL
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What is reduce A1C to less than 7
Create a Specific and measurable goal for a member who tells you “ I want to better manage my diabetes”
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What is bathing, dressing, toileting, continence, feeding self, and transferring self
The 6 ADLs that must be documented for every member
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