Billing procedures for Personal Care Services are contained in the OKMMIS Billing and Procedure Manual.  Questions regarding billing procedures that cannot be resolved through a study of the manual are referred to the OHCA.  Contractors for Personal Care bill on CMS-1500.  The OKDHS county office provides instructions to an individual PCA for completion of the claim at the time of the contractor orientation.  Each Personal Care contractor submits a claim for each member.  The contractor prepares claims for services provided and submits the claims to the fiscal agent who is responsible for assuring that the claims have been properly completed.  All Personal Care contractors must have a unique provider number.  New contractors will be mailed the provider number after they have been placed on the claims processing contractor's provider file.  Service time of Personal Care and Nursing is documented solely through the Interactive Voice Response Authentication (IVRA) system after access to the system is made available by OKDHS.  The IVRA system provides alternate backup solutions should the automated system be unavailable.  In the event of IVRA backup system failure, the provider will document time in accordance with their agency backup plan.  The agency's backup procedures are only permitted when the IVRA system is unavailable.