Long Term Care (LTC): ADvantage Waiver Applications Processing Certifications

Updating Authorization to Financial “F” Status

If the AFS worker determines the client to be financially eligible, the ADvantage authroization needs to be updated from “A” application to “F” financially eligible.

Do not code an authorization with “f” until 100% certain of financial eligibility
  1. In IMS, type EKL <space> case number, and press enter.EKL space h028283
  2. Tab down to the ADvantage Waiver authorization in application status and type ausw, and press enter.Application Status - ausw
  3. Tab down to action block and enter “F” over the “A”Action Block K12 = f
  4. Press enter to place authorization in “F” status
  5. Check EKL to verify the Authorization is in “F” status

Once the medical decision is available in Harmony, the system will read the authorization lines for the financial determination. Once the financial determination is also available the system will take final action to certify or deny the lines as appropriate (if not already denied financially). An auto generated notice of the final decision will be sent to the assigned SSS/SSS Supervisor via Outlook email from the Harmony system.

All FACS blocks must be entered and case free of edits for the case to certify properly

Was this article helpful?

Comments or Suggestions?

We want Quest to be your source for important information that you need to succeed at in your work but we need your help:

Was this article helpful? Was it missing something you needed to get the job done?

Tell us what you think, what you know about this article. What are we doing well, and what we could do better.

All fields are required.