Service Document Submission
HAND DELIVERIES TO THE MSU:
In an effort to improve turn-around times, MSU is addressing document tracking. Effective 10/01/2015, all packets hand delivered to MSU must have an attached itemization checklist (attached to this provider communication) for each document submitted to include the following:
- Member's full name and Medicaid ID number
- List of all documents being submitted
- The name, contact number, and email address of the person making the hand delivery, in the event there are missing documents
- Note if there is a priority review enclosed in the packet
- List one Member per line
- Include the total number of pages per Member packet
This checklist is not intended to replace the Service Authorization Packet Checklist (ADv6f) form, as the ADV 6f remains required for all Member packet submissions.
Failure to submit or enclose a completed checklist may cause a delay in timely processing of the documents submitted.
In order to expedite processing of hand delivered documents, acceptance for hand delivered documents will be restricted to the hours between 9:00 a.m. to 12:00p.m. and 1:00 p.m. to 4:00 p.m. Monday thru Friday.
PRIORITY REQUESTS- Reminder:
Priority requests are services that need to be authorized immediately to protect a Member's health and welfare. Please do not identify documents as 'Priority' if they do not meet this criteria.
Only PRIORITY Service Plan Authorization correspondence should be faxed to (405) 230-8019. Please ask all of your Case Managers to immediately cease sending anything but priority documentation via fax. A priority request should include the cover sheet with the priority status clearly identified and a justification for the request. Requests with cover sheets that do not indicate priority status or justification will not be routed for immediate review.
Unless directed to do so by Provider Question or another MSU source, please DO NOT resend a packet you have already sent to the MSU, or resend an additional Provider Question (via Smartermail) request either by mail, fax, or hand delivery. Time spent researching whether or not documents have already been processed is time not spent reviewing original service plan requests. Resubmitted requests are causing significant processing delays at this time.
We are currently posting our internal processing dates on the Sandata Message Board every Monday. Please review this message prior to utilizing Provider Question for an update regarding a recent submission.
ACCURATE AND COMPLETE SERVICE PLAN INFORMATION:
Simple errors such as missing signatures, incorrect service codes, and missing corresponding goals are the primary cause of non-authorized services and requests for corrections. Correct and timely service plan documentation and submission will ensure authorization the first time a document is submitted, with no gap in services to the Member. Please advise Case Managers to review all paperwork prior to submission to avoid unnecessary delays.
If you have any questions regarding the information provided above, please feel free to contact us via Smarter Mail at: firstname.lastname@example.org