Prior authorization – Service agreements
Page posted: 6/21/11 | Page reviewed: | Page updated: 8/10/16 | |
MAIN screen | MMIS stores six different types of prior authorizations in the PRIOR AUTHORIZATION subsystem. This includes documents for medical, dental, medical supplies, pharmacy, inpatient hospital, waivers and other programs. Five of the types are actually prior authorizations and titled as such. The sixth type is the service agreement. MMIS stores two types of service agreements for home and community-based services (HCBS) in the MMIS PRIOR AUTHORIZATION file: 1. Tab to place the cursor in front of the PRIOR AUTHORIZATION menu item located in the PRIOR AUTHORIZATION APPLICATIONS section on the MAIN MENU screen. | ||
AKEY screen | Enter a valid value in the ACTION CODE field on the AKEY screen: To review existing prior authorization, complete the following fields: | ||
ASEL screen | If there are prior authorizations for the PMI entered including service agreements, the ASEL screen opens and lists existing prior authorizations for the PMI entered on the AKEY screen. MMIS displays valid values (i.e., codes and dates) that detail the prior authorization history. To review a list of prior authorizations in MMIS and select a document to view: TYPE field valid value T followed by the service agreement type letter code indicates a service agreement. AUTH NUMBER field displays the authorization number MMIS assigned to the service agreement. ST field displays the status of the service agreement: START DATE field displays the start date of the service agreement in MMDDYY format. END DATE field displays the end date of the service agreement in MMDDYY format. MAJ PROG field displays the major program of the recipient at the time of this service agreement. | ||
Initiate a new service agreement | Before entering a new service agreement into MMIS, conduct a recipient file search to confirm the person’s eligibility status. Then initiate a new service agreement. 1. Enter A (i.e., add) in the ACTION CODE field on the AKEY screen. 4. Press a transmit key to advance to the ASA1 screen and begin data entry. | ||
Update an existing service agreement | 1. Enter C in the ACTION CODE field on the AKEY screen. | ||
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