Topic: Authorization
Eligibility and how to handle it
Access EKL screen for the case. In IMS, enter EKL case number Tab down to the correct authorization and enter ETPANEW FOR MONTH – Enter the month and year of the TW13 in MM/YY format. On the upper portion enter an E with the number of hours the client was absent for that day for […]
To complete this quiz, select the correct answer for each question and hit Submit.
To complete this quiz, select the correct answer for each question and hit Submit.
How to Exempt Copays and what providers will be exempt.
For SSI-DCP Services, the Social Services “E” section (Child Care) must be opened, and the child needs to be added to the social services benefit. If no previous disability medical case exists for the child, a new case will need to be created. Please refer to article IMS: How Do I Create a D Case […]
Incorrect Begin Date procedures are used when there is a need for any child care to be covered on a day or days prior to the begin date on the incorrect authorization. This can occur when the incorrect begin date is submitted with a new child care certification or during a change of child care […]
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 In IMS, type EKL <space> case number, and press enter. Tab […]
Steps to take when processing a certification on Nursing Facility (NF) Applications
Updating Authorization to Denial “2” If found either financially or medically ineligible the AFS worker must code the ACTION BLOCK in the NF authorization In IMS, type EKL <space> case number and press enter. Tab down to the authorization in application status , type aul and press enter. Enter the following Tab to the action […]