(spw) sas help file

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10. Move to the Begin Date field and enter the effective date of the ISP coverage period. SAS Help File 11. Move to the End Date field and enter the last day of the ISP coverage period. 12. Move to the Contract No. field and enter the appropriate contract number of the MCO. Use the following chart to determine the correct contract number: MCO Service Area Contract Number Molina Bexar 1014430 Molina Harris 1014431 Molina Jefferson 1019598 Molina Dallas 1018980 Molina El Paso 1019987 Molina Hidalgo 1019988 Superior Bexar 1014433 Superior Nueces 1014434 Superior Dallas 1018981 Superior Hidalgo 1019985 Superior Lubbock 1019986 United Healthcare Harris 1014435 United Healthcare Jefferson 1019600 United Healthcare Nueces 1014437 United Healthcare Travis 1014438 Amerigroup Bexar 1014439 Amerigroup Harris 1014440 Amerigroup Jefferson 1019599 Amerigroup Travis 1014442 Amerigroup El Paso 1019979 Revised: 4/23/2012 33
Amerigroup Lubbock 1019983 Amerigroup Tarrant 1018977 Bravo Health Tarrant 1018979 HealthSpring (Bravo) 13. Leave NPI at the default. 14. Save the record. Hidalgo 1019984 SAS Help File To register a Service Code 60, Prescriptions service authorization for an MFP applicant: 1. Select Service Authorization in the Program and Service directory. 2. Select Add and the Service Authorization record will appear. 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 ISP coverage period. 11. Move to the End Date field and enter the end date of the 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 both records are completed. Revised: 4/23/2012 34
Page 1: STAR+PLUS WAIVER (SPW) SAS HELP FIL
Page 4 and 5: Initial Service Authorization / SPW
Page 6 and 7: Enrollment - SPW To register enroll
Page 8 and 9: 8. Move to the Units field and ente
Page 10 and 11: 14. Save the record. 15. Select Sub
Page 12 and 13: 2. Select Add and a blank Medical N
Page 14 and 15: 8. Save the record. Reassessment Se
Page 16 and 17: 1. Select Service Authorization in
Page 18 and 19: 4. Move to the Service Code field a
Page 20 and 21: To register a Service Authorization
Page 22 and 23: SAS Help File 3. Move to the Servic
Page 24 and 25: Transfers / SPW SAS Help File There
Page 26 and 27: 5. Move to the Termination Code fie
Page 28 and 29: SAS Help File outlined in Initial S
Page 30 and 31: United Healthcare Nueces 1014437 Un
Page 32 and 33: 2. Select Add and a blank Authorizi
Page 34 and 35: Enrollment - SPW To register enroll
Page 38 and 39: Level of Service - SPW SAS Help Fil
Page 40 and 41: 3. Move to the MN field and select
Page 42 and 43: United Healthcare Jefferson 1019600
Page 44: 1. Search for the member’s SPW ca

(spw) sas help file

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