Type B Home Care Service Agreement
Page posted: 6/8/11 | Page reviewed: | Page updated: 8/10/2016 | |
Home Care Service Agreement | Lead agency staff enter Type B Home Care Service Agreements into the Medicaid Management Information System to: Use the results on the PCA Assessment and Service Plan (DHS-3244) to complete the PCA assessment fields in MMIS. MMIS denies claims for payment of services that do not have current authorization. The Type B Service Agreement contains nine panels that MMIS displays in a specific sequence referred to as a queue. The order of MMIS panels by acronym in the Type B SA queue are ASA1, ASA2, ASA3, AHC1, AHC2, AHC3, ADHS, APRV and ARCP. | ||
Service Agreement Letters | Service agreement letters: MMIS generates service agreement letters in an overnight process on approved or denied service agreements. MMIS does not generate a letter for service agreements in suspended status. Letters to recipients and providers listed on service agreement lines: | ||
DHS Reviewer | When applicable, MMIS posts DHS reviewer exception codes (EC) and automatically routes a Type B SA to DHS for review and finalization. DHS reviewer exception codes have a status of 3 (deny) or 4 (suspend). Lead agencies should review and when possible, resolve what caused the exception code to post. While lead agencies may make changes that cause an exception code to go away, lead agencies cannot resolve all exception codes. | ||
COR queue | County and tribal workers are able to view suspended Type B service agreements for PCA and CSG in the County of Residence queue that corresponds to their worker ID. Counties that use a county-contracted agency to enter PCA service agreements must check the COR queue regularly to identify PCA service agreements that require finalization. | ||
Reports | DHS generates reports related to personal care assistance and the Community Support Grant from data stored in MMIS. Reports help lead agencies track service agreements for PCA and CSG. DHS MMIS security grants access to view Type B service agreement reports to a county and tribal workers based on business needs. | ||
General Reference Guides | Access county of residence queue | ||
Additional resource pages | |||
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