Provider Management

Question 1

What are the four main user roles or positions associated with Provider Management?

Answer 1

CPM Administrator, Resource Manager, Facility Manager, Financial User.

Question 2

List four examples of data that can be maintained for a provider.

Answer 2

Contact information, approval criteria, financial terms, and training requirements.

Question 3

True or False: A provider inquiry must be created before the provider can be enrolled.

Answer 3

False (A provider can be enrolled directly, without a provider enquiry.)

Question 4

Based on data that the agency collects, it seems that one of its providers is not
maintaining a sufficiently high level of service. The agency does not want to use this
provider until the situation is corrected. What action in the Provider Lifecycle does the
Resource Manager take?

Answer 4

Suspend the provider.

Question 5

True or False: The agency can define its own approval criteria for new providers.

Answer 5

True

Question 6

Martin meets with a caseworker and completes an application for social service benefits. He is found to be eligible for two benefits, namely, income support payments and treatment for alcohol addiction. He receives $400 per month and spends 28 days at the Uplift Drug Treatment Center receiving treatment and counselling.

i) Which Cúram component determines eligibility for the drug treatment?

ii) Which Cúram component manages the contractual terms between the agency and the
Uplift Drug Treatment Center?

Answer 6

i) case management

ii) provider management

Question 7

Martin meets with a caseworker and completes an application for social service benefits. He is found to be eligible for two benefits, namely, income support payments and treatment for alcohol addiction. He receives $400 per month and spends 28 days at the Uplift Drug Treatment Center receiving treatment and counselling.

iii) Which position enrols Uplift as a provider?
iv) The Uplift Center recently completed renovations that increased its in-patient capacity from 30 to 40 patients. Which positions can enter this updated information into Provider Management?

Answer 7

iii) Resource Manager

iv) Facility Manager + Resource Manager

Question 8

Martin meets with a caseworker and completes an application for social service benefits. He is found to be eligible for two benefits, namely, income support payments and treatment for alcohol addiction. He receives $400 per month and spends 28 days at the Uplift Drug Treatment Center receiving treatment and counselling.

v) In addition to its drug treatment services, the Uplift Center now wants to offer treatment for clinical depression. Which position authorizes the addition of this new service to the centre’s offerings?

Answer 8

v) Resource Manager