HCBS Exam Questions and Answers Latest Update 2025 Already Passed
Branch Office - Answers An approved location/site from which a home health agency provides services
within a portion of the total geographic area served by the parent agency.
Parent Home Health Agency MUST provide supervision and admin control of any branch office.
Clinical Note - Answers A notation of a contact with a patient that is written, timed, and dated, and
which describes signs and symptoms, treatment, drugs administered and the patient's reaction or
response, and any changes in physical or emotional condition during a given period of time.
In - Advance - Answers Home health Agency staff must complete the task prior to performing any hands-
on care or any patient education.
Parent Home Health Agency - Answers The agency that provides direct support and administrative
control of a branch.
Primary Home Health Agency - Answers The HHA which accepts the initial referral of a patient, and
which provides services directly to the patient or via another health care provider under arrangements.
Proprietary Agency - Answers A private, for-profit agency.
Quality Indicator - Answers A specific, valid, and reliable measure of access, care outcomes, or
satisfaction, or a measure of a process of care.
Representative - Answers The patient's legal representative, such as a guardian, who makes health-care
decisions on the patient's behalf, or a patient-selected representative who participates in making
decisions related to the patient's care or well-being, including but not limited to, a family member or an
advocate for the patient. The patient determines the role of the representative, to the extent possible.
Subdivision - Answers Component of a multi-function health agency, such as the home care department
of a hospital or the nursing division of a health department, which independently meets the conditions
of participation for HHAs. A subdivision that has a branch office is considered a parent agency.
Summary Report - Answers The compilation of the pertinent factors of a patient's clinical notes that is
submitted to the patient's physician.
Supervised Practical Training - Answers Training in a practicum laboratory or other setting in which the
trainee demonstrates knowledge while providing covered services to an individual under the direct
supervision of either a registered nurse or a licensed practical nurse who is under the supervision of a
registered nurse.
, Verbal Order - Answers A physician order that is spoken to appropriate personnel and later put in
writing for the purposes of documenting as well as establishing or revising the patient's plan of care.
G350 - Answers The HHA and agent acting on behalf of the HHA must ensure the confidentiality of all
patient identifiable information.
What must agreements between the HHA and OASIS vendors address? - Answers Policies and
procedures to protect the security of such electronic records.
Who is ultimately responsible for compliance if the agent does not meet the requirements? - Answers
The Home Health Agency
Within how many days does the HHA have to transmit each completed OASIS assessment to the CMS
system? - Answers Within 30 days of completing the assessment of the beneficiary.
Where must an HHA encode and electronically transmit each completed OASIS assessment to? -
Answers The CMS system.
"CMS System" Means - Answers the National Quality Improvement Evaluation System, ASsessment
Submission and Processing (QIES ASAP) System
"Encode" Means - Answers to enter OASIS information into a computer.
"Transmit" means - Answers Electronically send OASIS information, from the HHA directly to the CMS
system.
Who must an HHA transmit a completed OASIS assessment to the CMS system for? - Answers All
Medicare patients, Medicaid patients, and patients utilizing any federally funded health plan options
that are part of the Medicare program (Medicare Advantage). Also for all Medicaid patients receiving
services under a waiver program recieving services subject to the Medicare Conditions of Participation
as determined by the State.
List exceptions to the transmittal requirements: - Answers Patients are:
- under age 18
- recieving maternity services;
- receiving houskeeping or chore services only;
- receiving only personal care services; and
- patients for whom Medicare or Medicaid insurance is not billed.
What has to be met in order for HHAs to be able to develop their own schedules for transmission of the
OASIS assessments? - Answers The submission time frame.
Branch Office - Answers An approved location/site from which a home health agency provides services
within a portion of the total geographic area served by the parent agency.
Parent Home Health Agency MUST provide supervision and admin control of any branch office.
Clinical Note - Answers A notation of a contact with a patient that is written, timed, and dated, and
which describes signs and symptoms, treatment, drugs administered and the patient's reaction or
response, and any changes in physical or emotional condition during a given period of time.
In - Advance - Answers Home health Agency staff must complete the task prior to performing any hands-
on care or any patient education.
Parent Home Health Agency - Answers The agency that provides direct support and administrative
control of a branch.
Primary Home Health Agency - Answers The HHA which accepts the initial referral of a patient, and
which provides services directly to the patient or via another health care provider under arrangements.
Proprietary Agency - Answers A private, for-profit agency.
Quality Indicator - Answers A specific, valid, and reliable measure of access, care outcomes, or
satisfaction, or a measure of a process of care.
Representative - Answers The patient's legal representative, such as a guardian, who makes health-care
decisions on the patient's behalf, or a patient-selected representative who participates in making
decisions related to the patient's care or well-being, including but not limited to, a family member or an
advocate for the patient. The patient determines the role of the representative, to the extent possible.
Subdivision - Answers Component of a multi-function health agency, such as the home care department
of a hospital or the nursing division of a health department, which independently meets the conditions
of participation for HHAs. A subdivision that has a branch office is considered a parent agency.
Summary Report - Answers The compilation of the pertinent factors of a patient's clinical notes that is
submitted to the patient's physician.
Supervised Practical Training - Answers Training in a practicum laboratory or other setting in which the
trainee demonstrates knowledge while providing covered services to an individual under the direct
supervision of either a registered nurse or a licensed practical nurse who is under the supervision of a
registered nurse.
, Verbal Order - Answers A physician order that is spoken to appropriate personnel and later put in
writing for the purposes of documenting as well as establishing or revising the patient's plan of care.
G350 - Answers The HHA and agent acting on behalf of the HHA must ensure the confidentiality of all
patient identifiable information.
What must agreements between the HHA and OASIS vendors address? - Answers Policies and
procedures to protect the security of such electronic records.
Who is ultimately responsible for compliance if the agent does not meet the requirements? - Answers
The Home Health Agency
Within how many days does the HHA have to transmit each completed OASIS assessment to the CMS
system? - Answers Within 30 days of completing the assessment of the beneficiary.
Where must an HHA encode and electronically transmit each completed OASIS assessment to? -
Answers The CMS system.
"CMS System" Means - Answers the National Quality Improvement Evaluation System, ASsessment
Submission and Processing (QIES ASAP) System
"Encode" Means - Answers to enter OASIS information into a computer.
"Transmit" means - Answers Electronically send OASIS information, from the HHA directly to the CMS
system.
Who must an HHA transmit a completed OASIS assessment to the CMS system for? - Answers All
Medicare patients, Medicaid patients, and patients utilizing any federally funded health plan options
that are part of the Medicare program (Medicare Advantage). Also for all Medicaid patients receiving
services under a waiver program recieving services subject to the Medicare Conditions of Participation
as determined by the State.
List exceptions to the transmittal requirements: - Answers Patients are:
- under age 18
- recieving maternity services;
- receiving houskeeping or chore services only;
- receiving only personal care services; and
- patients for whom Medicare or Medicaid insurance is not billed.
What has to be met in order for HHAs to be able to develop their own schedules for transmission of the
OASIS assessments? - Answers The submission time frame.
