7652 Changes to the Authorization Revision ; Effective September , If the Transition Assistance Services (TAS) agency or the member identifies additional required by the member after the TAS authorization has been sent, the TAS agency must obtain approval from the managed care organization (MCO) on , Transition Assistance Services (TAS) Assessment and Authorization, prior to obtaining the item/service. The TAS agency must stay within the total dollar amount authorized on Form 8604. If the total amount of the itemsservices needed is more than the total amount authorized, the TAS agency must obtain prior approval and an updated Form 8604 from the MCO. The MCO must send an amended Form 8604 updating the authorization to the TAS agency within two business days with the additional items and amounts authorized. MCO approval is required to authorize delivery of TAS services. 7660 Transition Assistance Services Agency Responsibilities Revision ; Effective September , The Transition Assistance Services (TAS) agency accepts all members referred by the managed care organization (MCO). Upon receipt of the authorization, the TAS agency must review the forms carefully and contact the MCO if there are any questions regarding what has been authorized. This contact must occur by the next business day of receipt of the forms, and before any TAS purchase is made. The MCO contacts the member, if necessary, to discuss the item in question. The MCO provides a revised TAS authorization form within two business days if it clarifies an item is authorized or approves a change to the authorization. The TAS agency purchases the authorized itemsservices and arranges and pays for the delivery of the purchased items, if applicable. The TAS agency only purchases services or items within the dollar amount authorized by the MCO. The TAS agency contacts the member or authorized representative, if necessary, to coordinate service delivery.
7652 Changes to the Authorization Revision ; Effective September , If the Transition Assistance Services (TAS) agency or the member identifies additional required by the member after the TAS authorization has been sent, the TAS agency must obtain approval from the managed care organization (MCO) on , Transition Assistance Services (TAS) Assessment and Authorization, prior to obtaining the item/service. The TAS agency must stay within the total dollar amount authorized on Form 8604. If the total amount of the itemsservices needed is more than the total amount authorized, the TAS agency must obtain prior approval and an updated Form 8604 from the MCO. The MCO must send an amended Form 8604 updating the authorization to the TAS agency within two business days with the additional items and amounts authorized. MCO approval is required to authorize delivery of TAS services. 7660 Transition Assistance Services Agency Responsibilities Revision ; Effective September , The Transition Assistance Services (TAS) agency accepts all members referred by the managed care organization (MCO). Upon receipt of the authorization, the TAS agency must review the forms carefully and contact the MCO if there are any questions regarding what has been authorized. This contact must occur by the next business day of receipt of the forms, and before any TAS purchase is made. The MCO contacts the member, if necessary, to discuss the item in question. The MCO provides a revised TAS authorization form within two business days if it clarifies an item is authorized or approves a change to the authorization. The TAS agency purchases the authorized itemsservices and arranges and pays for the delivery of the purchased items, if applicable. The TAS agency only purchases services or items within the dollar amount authorized by the MCO. The TAS agency contacts the member or authorized representative, if necessary, to coordinate service delivery.
sph-rev-18-2-section-7000.docx