This section is used to generate approval and denial notices to medical providers. For providers, enter blocks K4, K40, K45, and K46. On denials, enter only Blocks K4, K12, K40, and K45.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Authorization Number.
PS-2 Block: K1
PS-2 Block: K1
Instructions: Computer-assigned when authorization is entered. On new authorization, enter + to indicate authorization being added.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Person Number.
PS-2 Block: K4
PS-2 Block: K4
Instructions: Enter the appropriate person number from Section F for the person authorized for services.
NOTE: For authorizations created in FACS, select from the dropdown the household member about whom you want to collect eligibility determination information for short-term care.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Authorization Type.
PS-2 Block: K8
PS-2 Block: K8
Instructions: ST = short-term medical services.
NOTE: This block must be entered when adding a new authorization.
For authorizations created using FACS, the system automatically assigns the authorization type based on the use of the Auth ST Care Tab being used to create the authorization.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Action Taken.
PS-2 Block: K12
PS-2 Block: K12
Instructions: Enter for denial only. Use code 2.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Provider Number.
PS-2 Block: K40
PS-2 Block: K40
Instructions: Enter the DHS provider number(s) shown on MS-MA-5. For multiple providers, repeat K40 as many times as is necessary.
NOTE: The provider number may be accessed through the IMS Provider Inquiry. From IMS, enter M(sp)PAI for instructions.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Begin Date.
PS-2 Block: K45
PS-2 Block: K45
Instructions: Enter the date (month, day and year) this authorization is intended to begin. This date should be the same as the certification date of the case. For denials, enter beginning date of service from the MS-MA-5.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Number of Months.
PS-2 Block: K46
PS-2 Block: K46
Instructions: Enter number of months the client is authorized for short-term care.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: End Date.
PS-2 Block: K47
PS-2 Block: K47
Instructions: Computer will enter the ending date of this authorization using information from K45 and K46.
Notebook: ELIG
Tab: AUTH ST CARE
Tab: AUTH ST CARE
Field: Vendor Co-Payment.
PS-2 Block: K70
PS-2 Block: K70
Instructions: Computer-entered using information from Section D.
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