and to assure that services are provided to all participants according to their IPC. 8 61 Appropriate documentation in the participant’s health record according to current health record standards shall be completed by all CBAS staff providing services. 2 62 8. Authorization and Documentation Governing Statutes: WIC 14526 and 14526.1, Authorization for participation a. CBAS Waiver services shall require prior and Treatment authorization requests authorization and reauthorization. 2 63 A Treatment Authorization Request Governing Statutes: WIC 14526 and 14526.1, Authorization for participation (TAR) or agreed upon prior and Treatment authorization requests authorization document shall be prepared by the CBAS provider and submitted to DHCS or the managed care plan for each waiver participant seeking CBAS services. TARs for services for each waiver participant must be supported by the IPC. 2 64 Reauthorization TARs are required Governing Statute: WIC 14526.1(f), Treatment authorization requests every six months and services shall continue to be supported by the physician-signed IPC. 10 65 NOTE: The CBAS provider’s physician or the participant’s primary care physician may sign the participant’s IPC. care “Primary physician” may include physician
and to assure that services are provided to all participants according to their IPC. 8 61 Appropriate documentation in the participant’s health record according to current health record standards shall be completed by all CBAS staff providing services. 2 62 8. Authorization and Documentation a. CBAS Waiver services shall require prior authorization and reauthorization. Governing Statutes: WIC 14526 and 14526.1, Authorization for participation and Treatment authorization requests 2 63 A Treatment Authorization Request (TAR) or agreed upon prior authorization document shall be prepared by the CBAS provider and submitted to DHCS or the managed care plan for each waiver participant seeking CBAS services. TARs for services for each waiver participant must be supported by the IPC. Governing Statutes: WIC 14526 and 14526.1, Authorization for participation and Treatment authorization requests 2 64 Reauthorization TARs are required every six months and services shall continue to be supported by the physician-signed IPC. Governing Statute: WIC 14526.1(f), Treatment authorization requests 10 65 NOTE: The CBAS provider’s physician or the participant’s primary care physician may sign the participant’s IPC. “Primary care physician” may include physician
CBAS_Standards_of_Participation_Work_Matrix.docx