EWL Post Orientation Assessment

Contact the Every Woman's Life Program
Free_screens@vdh.virginia.gov
109 Governor Street, 8th Floor, Richmond, VA 23219
Phone (804) 864-7761• Fax (804) 864-7763
Toll Free in Virginia 1-866-395-4968

EWL Post Orientation Assessment Instructions: Please read the following questions and choose the correct response for each one. When you have answered the last question please hit “submit” to acknowledge your completion of this assessment.
First Name:	Last Name:
Your Email Address:	Subject:
1. EWL services are available for women who are at or below ___________% of the Federal Poverty Level?
a) 250% b) 200% c) 150% d) 100%
2. What percentage of newly enrolled women between the ages of 40 and 64 should meet the criteria of having never or rarely been screened for cervical cancer?
a) 15% b) 30% c) 20% d )10%
3. Women in what age group may receive diagnostic services only if they are symptomatic?
a) 18-39 b) 18-30 c) 34-50 d) 40-64
4. For women 18-39, which of the following symptoms would not qualify for breast diagnostic services?
a) Palpable mass b) Breast pain or tenderness c) Skin retraction d) Skin scaliness or inflammation
5. Only women screened and /or diagnosed through EWL are eligible for the Treatment Act.
a) True b) False
6. Which of the following does not disqualify a client from receiving Medicaid treatment?
a) Women who have missed 3 or more consecutive appointments b) Women who are pregnant c) Women who have a child under the age of 19 living with them d) Women who receive SSI
7. When a client’s application for Medicaid treatment is approved, the Department of Social Services will notify EWL within 24 hours.
a) True b) False
8. Case management may involve all of the following except:
a) Coordinating and tracking services b) Assessing a clients needs and developing a care plan c) Completing a nutritional history form d) Assisting clients with the Medicaid application form
9. Reporting requirements for EWL include all of the following except:
a) Monthly Screening Log b) Weekly Activity Report c) Annual Renewal Application d) Annual Matching Funds Report
10. Clinical performance indicators include all but the following:
a) Work Up Completed b) Timeliness from Screening to Diagnosis c) Timeliness from Diagnosis to Treatment d) Treatment Started e) Treatment Completed
11. Payment for a client will be denied if data related to eligibility, such as age or income is missing.
a) True b) False
12. Recruitment performance indicators include:
a) Mammograms over age 50 b) Never/Rarely Screened for Cervical Cancer c) Strong Family History of Breast or Cervical Cancer d) Unemployment e) Both a and c f) Both c and d g) Both a and b h) None of the above
13. A Pap test in not needed for women who have had a hysterectomy for other non-cancer gynecological reasons.
a) True b) False
14. For mammography re-screening services for women 40-64, a return visit should take place at which time interval:
a) 3-6 months b) 6-12 months c) 12-18 months d) 18-24 months
Congratulations! You have reached the end of the assessment. Please hit submit to acknowledge your completion.