QMHA STUDY GUIDE
IfvgavgQMHAvgreportsvgtheyvgmetvgwithvgavgclient,vgwhenvginvgfact,vgtheyvgdidvgnot,vgandvgthev
gprogramvgbillsvgforvgthatvgmeeting,vgthatvgisvgtypicallyvgconsideredvgMedicaidvgfraud.vgIfvgav
gQMHAvgreportsvgmeetingvgwithvgavgclientvgforvganvghour,vgwhenvgtheyvgonlyvgmetvgwithvgthe
vgclientvgforvg7vgminutes,vgthatvgisvgtypicallyvgconsidered:vg-vganswer--MedicaidvgFraud.
WhichvgofvgthevgfollowingvgisvgavgviolationvgofvgthevgMHACBOvgCodevgofvgConductvg-
vganswer--a.vgEngagingvginvganvgintimate/
sexualvgrelationshipvgwithvgavgclientvgatvgyourvgagencyvgwhovgisvgonvgyourvgcaseloadvgtovgw
homvgyouvgarevgprovidingvgdirectvgservices.vgb.vgEngagingvginvganvgintimate/
sexualvgrelationshipvgwithvgavgclientvgatvgyourvgagencyvgwhovgisvgNOTvgonvgyourvgdirectvgca
seload,vgtovgwhomvgyouvghavevgNOTvgprovidedvganyvgdirectvgservices.vgc.vgAllvgofvgthevgab
ove.vg(C)
ThevgprimaryvgdifferencevgbetweenvgCasemanagementvgandvgCarevgCoordinationvgis:vg-
vganswer--Casemanagementvgprovidesvgreferrals,vglinkagesvgandvgfollow-
upvgwithvgclientsvgandvgothervgresources,vgwhilevgCarevgCoordinationvgfacilitatesvgcommu
nicationvgbetweenvgvariousvgprovidersvginvolvedvginvgthevgclient'svgcare.
Anvgexamplevgofvgactivevglisteningvgis:vg-vganswer--
Paraphrasingvgwhatvgyouvgheard,vgrepeatingvgitvgbackvgtovgthevgclient,vgtovgensurevgthatvgy
ouvgaccuratelyvgunderstandvgwhatvgthevgclientvgisvgattemptingvgtovgconvey
WhenvgshouldvgavgQMHAvgconsidervgthevgapplicationvgofvgCFRvg42vgpartvg2vgrules?vg-
vganswer--
Ifvgthevgclientvgisvgalsovgreceivingvgsubstancevgusevgdisordervgservicesvgatvgyourvgagency.
Onevgofvgthevgeasiestvgwaysvgtovgimplementvgavgstrength-
basedvgapproachvgwithvgclientsvgisvgto:vg-vganswer--
Askvgclientsvgaboutvgtheirvgpriorvgsuccessvgandvghowvgtheyvgachievedvgthem
WhichvgofvgthevgfollowingvgisvgthevgBESTvgexamplevgofvganvgopen-endedvgquestion:vg-
vganswer--Canvgyouvgtellvgmevghowvgyou'vevgbeenvgdoingvgovervgthevgpastvgweek?
WhichvgofvgthevgfollowingvgisvgwithinvgthevgQMHAvgscopevgofvgpractice?vg-vganswer--
Interviewingvgclientsvgandvgfamilyvgmembers,vgcollectingvgdata,vgtovgbevgusedvginvgthevgfor
mulationvgofvgavgQMHPvgdiagnosticvgassessment
Traumavginformedvgcarevgmeans:vg-vganswer--
Beingvgmindfulvgofvgagencyvgandvgservicevgproceduresvgthatvgmayvgre-
traumatizevgclientsvgasvgavgresultvgofvgtheirvgtraumaticvghistories.
Informedvgconsentvgis:vg-vganswer--
Explainingvgthevgnaturevgofvgservicesvgbeforevgthevgclientvgagreesvgtovgparticipate.
IfvgavgQMHAvgreportsvgtheyvgmetvgwithvgavgclient,vgwhenvginvgfact,vgtheyvgdidvgnot,vgandvgthev
gprogramvgbillsvgforvgthatvgmeeting,vgthatvgisvgtypicallyvgconsideredvgMedicaidvgfraud.vgIfvgav
gQMHAvgreportsvgmeetingvgwithvgavgclientvgforvganvghour,vgwhenvgtheyvgonlyvgmetvgwithvgthe
vgclientvgforvg7vgminutes,vgthatvgisvgtypicallyvgconsidered:vg-vganswer--MedicaidvgFraud.
WhichvgofvgthevgfollowingvgisvgavgviolationvgofvgthevgMHACBOvgCodevgofvgConductvg-
vganswer--a.vgEngagingvginvganvgintimate/
sexualvgrelationshipvgwithvgavgclientvgatvgyourvgagencyvgwhovgisvgonvgyourvgcaseloadvgtovgw
homvgyouvgarevgprovidingvgdirectvgservices.vgb.vgEngagingvginvganvgintimate/
sexualvgrelationshipvgwithvgavgclientvgatvgyourvgagencyvgwhovgisvgNOTvgonvgyourvgdirectvgca
seload,vgtovgwhomvgyouvghavevgNOTvgprovidedvganyvgdirectvgservices.vgc.vgAllvgofvgthevgab
ove.vg(C)
ThevgprimaryvgdifferencevgbetweenvgCasemanagementvgandvgCarevgCoordinationvgis:vg-
vganswer--Casemanagementvgprovidesvgreferrals,vglinkagesvgandvgfollow-
upvgwithvgclientsvgandvgothervgresources,vgwhilevgCarevgCoordinationvgfacilitatesvgcommu
nicationvgbetweenvgvariousvgprovidersvginvolvedvginvgthevgclient'svgcare.
Anvgexamplevgofvgactivevglisteningvgis:vg-vganswer--
Paraphrasingvgwhatvgyouvgheard,vgrepeatingvgitvgbackvgtovgthevgclient,vgtovgensurevgthatvgy
ouvgaccuratelyvgunderstandvgwhatvgthevgclientvgisvgattemptingvgtovgconvey
WhenvgshouldvgavgQMHAvgconsidervgthevgapplicationvgofvgCFRvg42vgpartvg2vgrules?vg-
vganswer--
Ifvgthevgclientvgisvgalsovgreceivingvgsubstancevgusevgdisordervgservicesvgatvgyourvgagency.
Onevgofvgthevgeasiestvgwaysvgtovgimplementvgavgstrength-
basedvgapproachvgwithvgclientsvgisvgto:vg-vganswer--
Askvgclientsvgaboutvgtheirvgpriorvgsuccessvgandvghowvgtheyvgachievedvgthem
WhichvgofvgthevgfollowingvgisvgthevgBESTvgexamplevgofvganvgopen-endedvgquestion:vg-
vganswer--Canvgyouvgtellvgmevghowvgyou'vevgbeenvgdoingvgovervgthevgpastvgweek?
WhichvgofvgthevgfollowingvgisvgwithinvgthevgQMHAvgscopevgofvgpractice?vg-vganswer--
Interviewingvgclientsvgandvgfamilyvgmembers,vgcollectingvgdata,vgtovgbevgusedvginvgthevgfor
mulationvgofvgavgQMHPvgdiagnosticvgassessment
Traumavginformedvgcarevgmeans:vg-vganswer--
Beingvgmindfulvgofvgagencyvgandvgservicevgproceduresvgthatvgmayvgre-
traumatizevgclientsvgasvgavgresultvgofvgtheirvgtraumaticvghistories.
Informedvgconsentvgis:vg-vganswer--
Explainingvgthevgnaturevgofvgservicesvgbeforevgthevgclientvgagreesvgtovgparticipate.
