Answers Latest Update
Excluded Services in Case Management: - ANSWER -1. physically
escorting / transporting to appointments or staying with consumer during
appointments
2. managing finances
3. providing shopping or paying bills services
4. delivering bus tickets, food stamps, money etc
5. counseling, rehabilitative services, psychiatric assessmets, or
discharge planning
6. filling out forms or applications on behalf of consumer when the
MEMBER IS NOT PRESENT
7. filling out Soonercare forms, applications
8. mentoring or tutoring
9. Case Management to the same family by two different agencies.
Excluded Services in Case Management: - ANSWER -1. non-face-to-
face time spent preparing the assessment document and the service plan
paperwork
2. monitoring financial goals
3. services to nursing home residents
4. psycho-therapeutic or rehabilitative services, psychiatric assessment,
or discharge
5. services to members residing in ICF/IID facilities (Intermediate Care
Facilities / Individuals with Intellectual Disabilities)
Excluded Individuals for Case Management Services: - ANSWER -1.
Children / Families for whom behavioral health case management
,services are available through OKDHS/OJA staff without special
arrangements with OKDHS, OJA, and OHCA
2. members receiving Residential Behavioral Management Services
(RBMS) in foster care or group home settings unless transitioning into
the community
3. residents of ICF/IID and nursing facilities unless transitioning into the
community
4. members receiving services under a Home and Community Based
Service (HCBS) waiver program
Travel is a reimbursable service CM through? - ANSWER -
ODMHSAS reimburses travel but Medicaid does not
I have a client in special education, his mother would like to take him to
my anger management group, so I will bill one hour of rehab on him, as
long as he comes and stays the hour. This is an example of Fraud or
Abuse? - ANSWER -Abuse
If I provide CM and Rehab Services in the same session, do I bill for the
higher paying service? - ANSWER -No, two separate notes are to be
made, one for each service.
Lori is leading a rehab group and walks out of the session to take a
phone call but bills for the entire session. This is an example of? -
ANSWER -Fraud
Sam can't get a hold of his client and fears his boss is going to fire him.
Sam makes up a phone contact note out of fear. This is an example of? -
ANSWER -Fraud
, Jerra drives to a clients house that is far away. Her client is not home so
she decides to bill a travel note to reimburse herself. This is an example
of? - ANSWER -FRAUD
A client is about to get kicked out of their apartment due to not paying
rent. I link the client with the church that offers eviction prevention
funds. She is now able to remain in her home another month. What
services did you provide? - ANSWER -Crisis Diversion
What steps should you take in helping someone reach their goal? -
ANSWER -Change your outreach techniques
Relapse Prevention
Deescalate
Modify
Motivate
The Strengths Based Model includes but is not limited to these areas: -
ANSWER -Interpersonal Competencies
Professional Role of the Case Manager
Community Integration
It is the CM job to know about wellness and promote wellness? T or F -
ANSWER -True
If you are planning to collaborate and build a partnership what needs to
develop with the client? - ANSWER -Trust
How does a CM demonstrate knowledge of resources for their client? -
ANSWER -By linking the client with resources