Addp Star Provider Training Program

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

True

False

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.

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.

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

True

False

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.

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.

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

True

False

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.

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.

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

DRC1

DRC2

DRC3

None of the above

DRC3 prevents an active duty service member from deployment eligibility.

Explanation

DRC3 prevents an active duty service member from deployment eligibility.

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

True

False

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.

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.

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

True

False

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.

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.

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

Complete an Attestation

Complete an Assessment

Register for automatic bill pay

Register for ADDP Patient Data Tracker or My Patients Benefits

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.

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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8. 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?

True

False

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.

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.

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

Wounded Warriors

National Oceanic and Atmospheric Administration (NOAA)

Disabled Veterans

Active Duty Service Members

All of the above

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.

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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10. Authorizations are required for (check all that apply):

Non-covered services

All services

If the procedure is considered specialty care.

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.

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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