Aug. 5, 2010
Timely processing of Service Plan requests is our number one priority. Due to unexpected staffing shortages we are currently processing reassessments, addendums and conditions at a fifteen (15) day turn-around. Processing for new plans is current (2 day turn-around). Please note that we are making every effort to amend the situation as quickly as possible and will update you as timelines shorten.
In an effort to improve our ability to sort and process service plan documentation in a timely manner we are requesting your immediate cooperation with the following submission procedures.
Services that need to be authorized immediately to protect a member's health and welfare
PRIORITY only 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. Requests with cover sheets that do not indicate the priority status will not be routed appropriately for immediate review.
Unless directed to do so by Provider or another AAU source, please DO NOT resend a 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.
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 around with no gap in services to the member.
If you have any questions or concerns regarding the information provided above, please feel free to contact us via e-mail at Provider Questions.