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Service Authorization Training Quiz for 1915(c) HCBS Case Managers
Case managers should complete the following quiz after viewing the Service Authorization Training for Case Managers webinar and reading the Service Authorization Training Guide. **Case managers need a score of at least 15 out of 18 to pass. Click "View Score" at the end of the quiz to see your results** If you plan to attend a Service Authorization Regional Question & Answer session, you must complete the training and this quiz beforehand.
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1. During the Service Authorization Training Webinar, the presenter said the answer to question 1. is:
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1 point
True
False
2. The goal of service authorization is to embrace a holistic, person-centered approach that considers the participant’s social, environmental, physical, financial, cultural, and behavioral needs.
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1 point
True
False
3. Case manager responsibilities include ensuring services correspond to the participant’s assessed needs, strengths, preferences, identified goals, and desired outcomes.
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1 point
True
False
4. When authorizing services, case managers must:
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1 point
a. Understand the participant’s needs and expectations before initiating the PCSP planning process.
b. Help the participant understand how their assessed level of need influences the level of services that can be authorized.
c. Inform participants of the grievance and appeal process.
d. Document authorized services in MWMA.
e. All of the above
5. When applying service authorization to the person-centered planning process, case managers must analyze the participant's ______________ thoroughly, resolving any conflicting information in the documentation which requires clarification.
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1 point
Your answer
6. Case managers should offer objective options counseling and participant education that identifies additional resources, such as Medicaid state plan services and community resources, to address unmet needs
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1 point
True
False
7. What is the name of the tool that case managers should use to compare services, review service indicators, determine services at risk of duplication with another service or program, and identify services requiring a Cabinet-level review and approval prior to service delivery?
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1 point
a. MWMA
b. Service Authorization SOP
c. Service Authorization Crosswalk
d. Functional assessment.
8. During the Service Authorization Webinar, the presenter said the answer to question 8. is:
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1 point
A
B
C
D
E
F
9. Case managers will need to be prepared to manage participant’s objections to the service plan. Which are suggested ways to prepare for and manage participant objections?
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1 point
a. Be able to explain the functional assessment findings.
b. Show your frustration and be aggressive when responding to the objection.
c. Practice objective communication skills.
d. Do not include the participant in the PCSP process.
e. a and c.
10. Case management supervisory review of PCSPs is intended to:
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1 point
a. Monitor utilization
b. Ensure proper allocation of services
c. Offer additional protection against the risk of fraud, waste, and abuse.
d. Identify staff training needs.
e. Ensure PCSPs are aligned with participant goals and needs.
f. All of the above.
11. Select 1915(c) waiver services that require __________ or significant resources will be subject to Cabinet-level review for PCSPs to be authorized.
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1 point
a. Prior authorization
b. Skilled care
c. Non-skilled care
d. All of the above
12. Case managers providing support to SCL waiver participants will continue to follow the established exceptional supports review process conducted by the Department for Behavioral Health, Developmental and Intellectual Disabilities (DBHDID)
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1 point
True
False
13. Case managers will enter the PCSP and service details into the plan of care (POC) module in MWMA, including:
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1 point
a. Goals and objectives.
b. 1915(c) waiver service details.
c. Non-waiver service details.
d. All required documents.
e. A through D.
14. During the Service Authorization Training Webinar, the presenter said the answer to 14. is:
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1 point
A
B
C
D
E
F
Option 6
15. Cabinet level reviewers will ensure that all necessary paperwork is completed appropriately in MWMA and review the functional assessment to confirm that services align with the needs identified in the PCSP.
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1 point
True
False
16. Case managers will continue to be required to upload the MAP-350 form into the POC module within MWMA.
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1 point
True
False
17. Case managers can detect and prevent fraud, waste, and abuse by:
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1 point
a. Educating the participant.
b. Using the service crosswalk and other Cabinet-prepared tools.
c. Thoroughly documenting the monthly summary note in MWMA.
d. Responding in a timely fashion to changes in need or care settings.
e. None of the above.
f. All of the above.
18. Which of the following is an example of fraud, waste or abuse?
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1 point
a. A 1915(c) waiver service provider who bills for services during an institutional stay.
b. Billing for services or items not rendered.
c. Beneficiary fraud including card sharing, provider shopping.
d. Identity theft.
e. All of the above.
A copy of your responses will be emailed to the address you provided.
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