ADDP STAR Provider Training Program

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| By Courtney Dickinson

Courtney Dickinson

Community Contributor

Quizzes Created: 5 | Total Attempts: 1,985

Questions: 10 | Attempts: 976 | Updated: Mar 20, 2023

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Questions and Answers

1.

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2.

Authorizations are required for (check all that apply):
- A.
  
  Any treatment exceeding $750 per appointment or cumulative total of $1600 or more for treatment plans completed within a consecutive 12 month period.
- B.
  
  Non-covered services
- C.
  
  Any treatment exceeding $750 per appointment or cumulative total of $1500 or more for treatment plans completed within a consecutive 12 month period.
- D.
  
  All services
- E.
  
  If the procedure is considered specialty care.
Correct Answer(s)
B. Non-covered services
C. Any treatment exceeding $750 per appointment or cumulative total of $1500 or more for treatment plans completed within a consecutive 12 month period.
E. If the procedure is considered specialty care.

Explanation
Authorizations are required for non-covered services, any treatment exceeding $750 per appointment or cumulative total of $1500 or more for treatment plans completed within a consecutive 12 month period, and if the procedure is considered specialty care. This means that any treatment that falls under these categories must receive prior authorization in order for the patient to receive coverage for the services.

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3.

Who is eligible for the Active Duty Dental Program (ADDP) (check all that apply)?
- A.
  
  Wounded Warriors
- B.
  
  National Oceanic and Atmospheric Administration (NOAA)
- C.
  
  Disabled Veterans
- D.
  
  Active Duty Service Members
- E.
  
  All of the above
Correct Answer(s)
A. Wounded Warriors
B. National Oceanic and AtmospHeric Administration (NOAA)
D. Active Duty Service Members

Explanation
The Active Duty Dental Program (ADDP) is available to Wounded Warriors, National Oceanic and Atmospheric Administration (NOAA) personnel, and Active Duty Service Members. This means that all of the options listed in the question are eligible for the program. Disabled Veterans are not explicitly mentioned in the answer, so they are not eligible for the ADDP.

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4.

Routine diagnostic and preventive services must be initiated within 21-calendar days?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Routine diagnostic and preventive services must be initiated within 21-calendar days because timely initiation of these services is crucial for early detection and prevention of potential health issues. Waiting for a longer period may delay necessary interventions and increase the risk of complications. By initiating these services within 21-calendar days, healthcare providers can ensure prompt assessment, diagnosis, and implementation of preventive measures, ultimately improving patient outcomes and reducing the burden on the healthcare system.

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5.

Substitution of a referred service is permitted without a referral modification from the Dental Treatment Facility (DTF)?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Substitution of a referred service is not permitted without a referral modification from the Dental Treatment Facility (DTF). This means that if a patient has been referred to a specific service by the DTF, they cannot substitute it with another service without getting a modification to the referral. Therefore, the statement "Substitution of a referred service is permitted without a referral modification from the Dental Treatment Facility (DTF)" is false.

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6.

Dentists must indicate the active duty service member's (ADSM) appointment control number (ACN) on the claim form, as this allows the military to track the ADSM's readiness for worldwide deployment?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Dentists do not need to indicate the active duty service member's appointment control number (ACN) on the claim form. The ACN is not used to track the ADSM's readiness for worldwide deployment.

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7.

What Dental Readiness Classification (DRC) prevents an active duty service member from deployment eligibility?
- A.
  
  DRC1
- B.
  
  DRC2
- C.
  
  DRC3
- D.
  
  None of the above
Correct Answer
C. DRC3

Explanation
DRC3 prevents an active duty service member from deployment eligibility.

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8.

Remote ADSM's may self-refer for routine care?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Remote ADSM's may self-refer for routine care. This means that individuals who are covered by a remote ADSM (Active Duty Service Member) healthcare plan can seek routine care without a referral from a primary care provider. This allows them to directly access routine healthcare services without the need for an additional step of obtaining a referral.

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9.

Remote ADSM's are those who live or work 50 or more miles from a Dental Treatment Facility (DTF)?
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
Remote ADSM's are individuals who live or work 50 or more miles away from a Dental Treatment Facility (DTF). This means that they are located far from a facility where they can receive dental treatment. Therefore, the statement "Remote ADSM's are those who live or work 50 or more miles from a Dental Treatment Facility (DTF)" is true.

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10.

ADDP STAR Providers must submit 90% of their claims via paper?
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
The correct answer is False. This means that ADDP STAR Providers are not required to submit 90% of their claims via paper. They may have the option to submit their claims electronically or through other means, rather than using paper.

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11.

What three (3) steps must a STAR providers do to ensure their STAR status?
- A.
  
  Complete an Attestation
- B.
  
  Complete an Assessment
- C.
  
  Register for automatic bill pay
- D.
  
  Register for ADDP Patient Data Tracker or My Patients Benefits
Correct Answer(s)
A. Complete an Attestation
B. Complete an Assessment
D. Register for ADDP Patient Data Tracker or My Patients Benefits

Explanation
To ensure their STAR status, STAR providers must complete an attestation, complete an assessment, and register for either the ADDP Patient Data Tracker or My Patients Benefits. These steps are necessary to meet the requirements and guidelines set by the STAR program, ensuring that providers are compliant and eligible for STAR status.

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Current Version
Mar 20, 2023

Quiz Edited by
ProProfs Editorial Team
Jan 22, 2014

Quiz Created by
Courtney Dickinson

Addp Star Provider Training Program

Don't forget to complete your Attestation! Please use the link below:http://www.proprofs.com/survey/t/?title=p0cu5

Authorizations are required for (check all that apply):

Who is eligible for the Active Duty Dental Program (ADDP) (check all that apply)?

Routine diagnostic and preventive services must be initiated within 21-calendar days?

Substitution of a referred service is permitted without a referral modification from the Dental Treatment Facility (DTF)?

Dentists must indicate the active duty service member's (ADSM) appointment control number (ACN) on the claim form, as this allows the military to track the ADSM's readiness for worldwide deployment?

What Dental Readiness Classification (DRC) prevents an active duty service member from deployment eligibility?

Remote ADSM's may self-refer for routine care?

Remote ADSM's are those who live or work 50 or more miles from a Dental Treatment Facility (DTF)?

ADDP STAR Providers must submit 90% of their claims via paper?

What three (3) steps must a STAR providers do to ensure their STAR status?