OHCW Provider Training Course Test

1. True or False:  It is ok for providers to work more than the prescribed limits outlined in the individual's PCSP so long as the overage does not exceed 1 unit (15 minutes). *This question is required.

• True
• False

2. For how many years must providers keep a waiver individual's clinical documentation? *This question is required.

• 1-Year
• 3-Years
• 6-Years
• 9-Years

3. True or False:  A non-agency LPN must undergo a face-to-face visit with their directing RN at least once every 60 days.
  *This question is required.

• True
• False

4. Providers must include certain information on the clinical documentation they prepare for each visit. What information must be included?

  *This question is required.

• All of the below
• Provider arrival and departure times with dated signatures of the provider and the individual, or their authorized representative.
• The tasks the provider performed or did not perform during each visit
• Progress notes which include all communications with the case manager, treating physician, or other members of the multidisciplinary team

5. If a provider's contact information changes, they have 7 days to update:

  *This question is required.

• A The address books of the individuals to whom they provide services
• B Medicaid Information Technology System
• C Both B and D
• D ODM's designee

6. Which provider type(s) needs to keep a copy of the complete clinical record, including daily visit notes and a copy of the PCSP, in the individual’s home?
  *This question is required.

• A Agency PCAs
• B Non-agency nurses
• C Non-agency PCAs
• D Both B and C

7. A Notice of Operational Deficiency (NOD) documents a provider’s:

  *This question is required.

• Skillsets when it comes to care delivery
• Non-compliance with waiver provider rules
• Satisfaction scores from the individuals they serve
• All of the above

8. True or False:  Structural reviews may not occur during a provider’s regular shift and they may not bill Medicaid for the time spent at the structural review.
  *This question is required.

• True
• False

9. True or False:  Neglect, abuse, exploitation, and misappropriation are not considered "incidents" because the provider's actions were not intentional. *This question is required.

• True
• False

10. True or False:  Providers must notify the individual’s case manager of an incident within 24 hours of its occurrence. However, in some cases, providers may be required to report an incident sooner due to federal, state or local laws or professional licensure or certification requirements to which they are bound.

  *This question is required.

• True
• False

11. True or False:  At the conclusion of the visit, the individual, or the individual's authorized representative, must verify service delivery by signing the provider’s clinical record for that visit. The provider does not have to sign the clinical record.
  *This question is required.

• True
• False

12. True or False:  An individual may object to a provider calling 911 in the event of a medical emergency. If this happens, the provider must obey the individual's wishes.
  *This question is required.

• True
• False

13. Which of the following are the goal(s) of an investigation?
  *This question is required.

• A. Ensure the health and welfare of individuals receiving waiver services.
• B. Build a case to remove a provider's eligibility
• C. Determine the contributing factors that led to the incident to mitigate future recurrence.
• D. Both A and C

14. True or False:  When a provider knows they will be unavailable to provide services (planned absence), they must give 72 hours notice, to the individual and Case Manager.  *This question is required.

• True
• False

15. If an overpayment is found or a claim was billed incorrectly, the provider has __ to re-submit a correction to the claim.
  *This question is required.

• 14 Days
• 30 Days
• 60 Days
• 90 Days