FAST Training

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This document revised April 2016.

FAST to be used for adult consumers (18 and over)

• To be completed every six months or when there is a placement change for consumers in:

• Specialized Housing• Supportive Housing• Community Living Supports• The FAST is due by the 15th of the month and the

authorization will begin on the first day of the following month.

Request for Service

• A request for service in Dash needs to be completed for every authorization.

• The request for service needs to have a demographic form attached, which can be filled out in the Dashboard

• The request for service is found under the “Request for service tab”.

• Under the “Request for service tab” click on “Add Request for Service”.

Page 3 of the FAST

• Date of Assessment: Date the FAST was completed• Member Name• Member ID: Ensure ID provided is the Member ID, not

an agency ID/Medicaid ID• Select Specialized Housing H2016, Supportive

Housing/H0043, or Adult CLS/H2015• Provider Agency: The name of the agency that

provides the staffing. (If this is blank or filled out incorrectly authorization cannot be completed)

Area One: Socialization

• Socialization and participation in community activities and recreation opportunities

• The 9 skills listed in the left column have been changed from those for the FAT.

• Circle the skills the consumer has mastered, and score how many skills the consumer has mastered in the scoring boxing.

• Write an explanation for any skills not mastered in the space provided

Health and Safety Skills

• Skills listed have been changed from the FAT• There is a new section in the lower left corner• Name of Primary Care Physician• Contact Information for Physician• Date of last physical Exam/Assessment

Challenging Behaviors

• The left hand column breaks behavior down into 2 categories.

• Category One behaviors must have occurred 3 or more times in the past 30 days.

• Category Two Behaviors must have occurred 2 or more times in the past 30 days

• All consumers who score a level 1 or above must complete the behavioral questions on the following page.

• All consumers who score a level 3 or 4 must have a behavior plan attached to the FAST.

• In Addition all consumer who score level 4 require a crisis/safety plan to be attached.

• IF there is no behavior plan, or if the parent denies a behavior or crisis plan that needs to be annotated on the FAST.

Behavioral Questions

• All consumers who score a level 1 or above must complete the behavioral questions on the following page.

• All consumers who score a level 3 or 4 must have a behavior plan attached to the FAST.

• In Addition all consumer who score level 4 require a crisis/safety plan to be attached.

• IF there is no behavior plan, or if the parent denies a behavior or crisis plan that needs to be annotated on the FAST.

Medical Complexity

• Medical Complexity in the FAST now is one of the sections used to calculate consumer’s CLS level.

• Level 3 and 4 requires that all relevant items be checked in the appropriate column.

Activities of Daily Living

• The Personal Care rate is solely derived from the ADL’s section.

• Even if the consumer has not mastered any skills and scores at level 4 PCP goals must be listed in the column.

Page 9

• The second column requests the start date of the authorization.

• The third column requests the duration of the authorization.

• The fourth column lists the billing unit of the requested authorization.

• The fifth column requests the name of the individual who will be working with the consumer to complete goal. (the name of the house or the staffing agency).

• The sixth column summarizes goals for the consumer and steps for the consumer to reach their goals.

• Goals chosen should reflect priorities from the FAST.• Goals should be measurable and list out all steps

necessary.• Goals should list both what is expected from the

consumer and what is expected from staff.

Signature Page

• Summary/Comments- Give a brief case conceptualization.

• Signature block for the staff completing the FAST, the consumer, legal guardian, supervisor, or others involved in the creation of the plan.

Calculations Page

• Box A-Add areas 1 to 4 and place the sum into box A.• Box B- is a table which translates your number from

box A into the level of CLS the consumer will receive.• Box C- is a table which is used to determine the level

of Personal Care.• Box D- School or a CLN funded skill building

programs effect the consumers daily rate. So it is vital that this gets filled out.

Clinical Outlier Checklist

• The Clinical Outlier checklist was designed as a replacement for the clinical letter and will be filled out for any consumer requesting services above what is stipulated in the FAST.

• Determinations for authorizations above what is requested on the FAST will be made using this document so it should be as accurate and detailed as possible.

• It should be a stand alone document, and should be able to be read without the FAST, behavior plan or IPOS.

Clinical Outlier Checklist

• Assessments and Psychiatric Assessments-should include the date of the most recent assessments, also an explanation of any pertinent results.

• Medical work up should include last physical, medical appt. and any relevant medical conditions.

• Therapy group/individual (needs to include the topics that therapy covers and any relevant progress).

• Behavior plan (needs to include the date of the last behavior plan and any challenging behaviors and staff interventions).

Clinical Outliers Checklist

• Community Living supports (needs to include any special credentials staff need or extra services the consumer requires).

• Culture of Gentleness (should include if they have had a referral, the date and any pertinent results).

• Escalation of service (needs to include any escalations of care that have occurred in the last year).

• Licensed, Specialized AFC (a detailed summary of adult consumers living situation if they are in specialized or residential AFC).

Clinical Outliers Checklist

• Children’s Waiver prescreen (a brief detailed summary of the Children’s Waiver prescreen).

• HAB Waiver Application (need to know if it is pending (as of when), approved (what date) or denied (if so, why?).

• Current Placement (Thoroughly summarize the consumer’s current living situation, including if they live in the family home, have roommates or any relevant environmental factors).

Clinical Outliers Checklist

• Current Placement (Thoroughly summarize the consumer’s current living situation, including if they live in the family home, have roommates or any relevant environmental factors).

• Team consult at the consumer level (Results of any treatment team decisions, or provider and/or staffing meetings to address target behaviors, or outlier issues).

• Other (Any other relevant issues not listed).

• Any N/A response needs to be addressed in the space provided below, a brief case conceptualization should be included.

Questions?