(spw) sas help file

14. Save the record.
15. Select Submit to SAS after both records are completed.
Level of Service - SPW
SAS Help File
All SPW members must have a Resource Utilization Group (RUG) registered
on a Level of Service record. This record will be system-generated from
information received from TMHP. The MCO nurse completes the Medical
Necessity/Level of Care Assessment (MN/LOC) and submits the information
from this form to TMHP. After TMHP determines Medical Necessity and
computes the RUG value, this information is transmitted to DADS and stored in
the SAS database.
This record is system generated from the information stored in the SAS
database. This system-generated record will have an End Date that must be
extended through the last day of the month in which the ISP expires. For
example, if Medical Necessity/RUG is approved with an effective date of
5-13-11, the system-generated end date for the Level of Service record will be
5-12-12. If the ISP period is 6-01-11 to 5-31-12, the Level of Service record will
need to be extended to 5-31-12 so the member has coverage for the entire ISP
period.
To extend a Level of Service record for an SPW applicant:
1. Select Level of Service in the Medical directory.
2. An existing Level of Service record will appear. Select the record and
scroll down to click on Modify or double-click on the record to open
and modify.
3. Move to the End Date field and change the date to the last day of the ISP
period
4. Save the record.
If a Level of Service record has not been created in SAS, complete the
following steps to add the record:
1. Select Level of Service in the Medical directory.
2. Select Add and a blank Level of Service record will appear.
3. Move to the Type field and select CR – CBA RUG from the drop down
Revised: 4/23/2012 8