(spw) sas help file

SAS Help File
3. Move to the Service Group field and select 19-STAR+PLUS from the
drop down list.
4. Move to the Service Code field and select 60-PRESCRIPTIONS from
the drop down list.
5. Leave the Fund and Term Code at the defaults.
6. Leave the Agency field at the default selection 324-DHS.
7. Move to the Unit Type field and select 2-MONTH from the drop down list.
8. Move to the Units field and enter 1.00.
9. Leave Amount at the default.
10. Move to the Begin Date field and enter the effective date of the new ISP
coverage period.
11. Move to the End Date field and enter the end date of the new ISP
coverage period.
12. Leave the Contract No. field at the default
13. Leave NPI at the default.
14. Save the record.
15. Select Submit to SAS after all the service authorization records are
completed.
Level of Service – Reassessment / SPW
All SPW members must have a 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 a Begin and End Date that
matches the new ISP year.
For example, a member with an initial ISP coverage period of 12-01-11 thru
11-30-12 is re-authorized for SPW eligibility. The new ISP year will be effective
12-01-12 thru 11-30-13. These new Begin and End Dates will be systemgenerated
in the Level of Service record.
Revised: 4/23/2012 19