(spw) sas help file
(spw) sas help file
(spw) sas help file
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5. Move to the Termination Code field and select “39 – Other” (or<br />
appropriate code) from the drop down list.<br />
6. Save the record.<br />
To close the Level of Service record:<br />
SAS Help File<br />
1. Move to Level of Service in the Medical directory and select Level of<br />
Service record.<br />
2. Select the open record and then choose Modify or double-click on the<br />
record to open and modify.<br />
3. Move to the End Date field and enter the effective date of the<br />
termination, which is the last day of the month of move.<br />
4. Save the record.<br />
To close the Diagnosis record:<br />
1. Move to Diagnosis in the Medical directory and select the Diagnosis<br />
record.<br />
2. Select the open record and then choose Modify or double-click on the<br />
record to open and modify.<br />
3. Move to the End Date field and enter the effective date of the<br />
termination, which is the last day of the month of move.<br />
4. Save the record.<br />
5. Submit the records.<br />
Transfers From One STAR+PLUS Area To Another STAR+PLUS Area<br />
There are two different situations that can occur when a STAR+PLUS member<br />
transfers from one service area to another service area. The first is when a<br />
member transfers to a new service area that his current MCO also serves, and<br />
he wants to stay with that MCO. Even though he is staying with the same<br />
MCO, the contract number will change and his records will need to be closed<br />
under the previous contract number and opened under the new contract<br />
number. The second is when the member changes MCOs in the new service<br />
area.<br />
To process the transfer, the losing SPSU staff closes the existing Authorizing<br />
Revised: 4/23/2012 23