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(spw) sas help file

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4. Move to the Service Code field and select SC 13 – NURSING<br />

SERVICES from the drop down list.<br />

5. Leave the Fund and Term Code at the defaults.<br />

6. Leave the Agency field at the default selection 324-DHS.<br />

SAS Help File<br />

7. Move to the Unit Type field and select 4-PER AUTHORIZATION from<br />

the drop down list.<br />

8. Move to the Units field and enter 1.00.<br />

9. Leave Amount at the default.<br />

10. Move to the Begin Date field and enter the effective date of the new ISP<br />

coverage period.<br />

11. Move to the End Date field and enter the last day of the month the<br />

packet was posted.<br />

12. Move to the Contract No. field and enter the appropriate contract<br />

number of the MCO. Use the following chart to determine the correct<br />

contract number:<br />

MCO<br />

Service Area<br />

Molina Bexar 1014430<br />

Molina Harris 1014431<br />

Molina Jefferson 1019598<br />

Molina Dallas 1018980<br />

Molina El Paso 1019987<br />

Molina Hidalgo 1019988<br />

Superior Bexar 1014433<br />

Superior Nueces 1014434<br />

Superior Dallas 1018981<br />

Superior Hidalgo 1019985<br />

Superior Lubbock 1019986<br />

Contract Number<br />

Revised: 4/23/2012 16

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