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Medicaid B - Case Support
About
Coverage
Medicaid B
Diagnosis Group(s)
All
Age Group(s)
18-20, Adult, All, Child
Authorization
Submission Requirements
Initial:
- Service Authorization Request (SAR)
- Person Centered Plan (PCP) with Service Order
Concurrent:
- Service Authorization Request (SAR)
- Person Centered Plan (PCP) with step-down plan to appropriate service
Service Definition Authorization Parameters
- 120 units/month unmanaged
- Beyond unmanaged benefit: up to 10 units/30 days with step-down plan
Locus Level
| 1 | 2 | 3 | 4 | 5 | 6 |
|---|---|---|---|---|---|
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|
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Service Codes & Descriptions
- T1016 CR Case Support/Case management, each 15 minutes
Alliance Statement of Work
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