22 Questions
What is the recommended action if the client is already enrolled in another CCBHC?
Assist the client in calling the other agency and canceling their services if they want to or inform the client that the agency they are currently enrolled in will provide all services.
What should be done if the client has private insurance?
Make a copy of the insurance card
What should be done if the OHCA eligibility page does not have a category of CCBHC?
Contact the supervisor
What is the purpose of utilizing: https://www.ohcaprovider.com/hcp/Default.aspx?alias=www.ohcaprovider.com/hcp/provider?
To ensure the correctness of Medicaid number or enroll the client in DMH
What action should be taken if the client is still enrolled in a CCBHC after checking eligibility?
Contact the supervisor
Which document must be done at the time of the appointment with the client and finalized or filed by close of business (COB)?
Comprehensive Care Plan Update
Who can complete the workflow for Comprehensive Care Plan Update?
Only licensed or under supervision therapists
Which screener should be done for adult updates?
GAD-7
What should be administered for children aged 10-17 during updates?
PHQ-9 Screener
Which handout is included in the Client Handbook in Go Health?
H.O.P.E STD/HIV Testing
What process involves filing the 21 CDC form in GoHealth?
Setting up client guarantors
What is required for all clients in Go Health, with specific versions for youth and young adults?
Health Risk Appraisal
What forms need to be completed for benefit and PCP in Go Health?
Income Verification, Business Packet, Fee Worksheet
When should the 21 CDC form be filed in Go Health's intake tab?
Within 30 days
Which tool is used to check and pull over DMH/Medicaid Information in Go Health?
PICIS Eligibility
What program name is assigned in Go Health for clients in specific programs like hospital discharge or suboxone?
201 Intake and Engagement
For children, how long should the Initial Evaluation appointment be scheduled for?
2 hours
What must be completed for all clients, including Health Risk Appraisal Youth for ages 0-17 and Health Risk Appraisal Young Adult for ages 18-25?
TB Screen
Which form needs to be filed after 30 days of the first filing, and then on the day of a PPS service?
21 CDC
Which program name should be put into Go Health, according to the text?
High Intensity Children/WRAP
What must be billed for 1 hour according to the text?
Initial Evaluation-T1023
Clients wanting services in Tulsa Public Schools need to complete how many School Forms according to the text?
Three School Forms
Study Notes
CCBHC Enrollment and Client Eligibility Process
- Clients cannot be enrolled in two CCBHCs if they have private insurance, and a copy of the insurance card must be made.
- A copy of the guardian’s state ID must be made.
- Client guarantors need to be set up in Go Health to set up insurance, including Medicaid 01AA-Adult Basic and 39AA-WRAP.
- Eligibility and Medicaid information should be inputted into Go Health, and manual eligibility for DMH and Medicaid should be chosen if the client has Medicaid.
- PINs need to be set for clients, guardians (if applicable), and treatment advocates in Go Health.
- The program name (e.g., School Based, Moderate Intensity Children, High Intensity Children/WRAP) should be put into Go Health.
- Various forms, including Communicable Disease Form, Intake Packet, Income Verification Form, Business Packet, Fee Worksheet, Fee Agreement, Medication and Allergies, and ROI forms, need to be completed and turned in.
- Clients wanting services in Tulsa Public Schools need to complete three School Forms.
- Various screeners, including TB Screen, PHQ-A, GAD-7, GAINS, Suicide Screen, Ohio Forms, SWYC, CATS Youth, and Caregiver, need to be completed.
- Health Risk Appraisal must be completed for all clients, including Health Risk Appraisal Youth for ages 0-17 and Health Risk Appraisal Young Adult for ages 18-25.
- The 21 CDC needs to be filed after 30 days of the first filing, and the second 21 CDC needs to be filed on the day of a PPS service.
- Initial Evaluation-T1023 needs to be billed for 1 hour, and NOMs Baseline Child needs to be turned in within 1 business day, either physically or via email. The Comprehensive Plan must be scheduled within 7-29 calendar days of the Initial Evaluation and 21 CDC Appointment.
Test your knowledge about the enrollment and client eligibility process for Certified Community Behavioral Health Clinics (CCBHCs), including the required documentation, forms, and procedures.
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