Field Descriptions Allowable indicator to identify the food as an allowable food selection for this Food Package/Profile. – UOM Unit of Measure from the Product associated with this allowable food on the Product/Package – Tab. System will display if selected as Allowable. Value Reconstituted amount for this allowable food from the Package tab. System will display if – selected as Allowable. Model Qty Numeric field entered by the user to identify that the allowable food selected should be – displayed in the model food package with the quantity entered when Model Rx” is clicked on “Display the Benefit Tab. Max w/Rx Numeric field entered by user to identify the maximum quantity of the allowable food that – may be validated when the user selects any Modification OTHER than Participant Preference and selects a Documentation indicator and clicks Modify Model Rx on the Benefit Tab. Max w/o Rx Numeric field entered by user to identify the maximum quantity of the allowable food – that may be validated without the user entering any other Modification other than Participant Preference and selects a Documentation indicator and clicks Modify Model Rx on the Benefit Tab. On One FI numeric text entry of the full or partial quantity of the allowable food that must be – distributed on one FI. Model Foods The Model Foods section of the screen displays which food(s) are part of the model package for reference. No changes are made to the model in this screen. Dual Participation Pennsylvania is responsible for hosting and managing a regional Dual Participation Portal. The information below is the design document provided to any state interested in participating in the
Field Descriptions Allowable – indicator to identify the food as an allowable food selection for this Food Package/Profile. UOM – Unit of Measure from the Product associated with this allowable food on the Product/Package Tab. System will display if selected as Allowable. Value – Reconstituted amount for this allowable food from the Package tab. System will display if selected as Allowable. Model Qty – Numeric field entered by the user to identify that the allowable food selected should be displayed in the model food package with the quantity entered when “Display Model Rx” is clicked on the Benefit Tab. Max w/Rx – Numeric field entered by user to identify the maximum quantity of the allowable food that may be validated when the user selects any Modification OTHER than Participant Preference and selects a Documentation indicator and clicks Modify Model Rx on the Benefit Tab. Max w/o Rx – Numeric field entered by user to identify the maximum quantity of the allowable food that may be validated without the user entering any other Modification other than Participant Preference and selects a Documentation indicator and clicks Modify Model Rx on the Benefit Tab. On One FI – numeric text entry of the full or partial quantity of the allowable food that must be distributed on one FI. Model Foods The Model Foods section of the screen displays which food(s) are part of the model package for reference. No changes are made to the model in this screen. Dual Participation Pennsylvania is responsible for hosting and managing a regional Dual Participation Portal. The information below is the design document provided to any state interested in participating in the
Solicitation_11.docx&OriginalFileName=Appendix%20K,%20Gap%20Analysis%206100029183.docx