23.03.2013 Views

(spw) sas help file

(spw) sas help file

(spw) sas help file

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!