(spw) sas help file

Initial Service Authorization / SPW
SAS Help File
These records must be completed to create an initial service authorization for SPW:
Authorizing Agent
Enrollment
Service Plan
Service Authorization
Level of Service
Medical Necessity
Diagnosis
Authorizing Agent - SPW
There will normally be one authorizing agent registered for an initial SPW member.
The STAR+PLUS Support Unit (SPSU) or Health and Human Services Commission
Managed Care Operations (HMCO) staff is registered as the authorizing agent when the
initial authorization is authorized.
To register an authorizing agent for an SPW applicant:
1. Select Authorizing Agent in the Case Worker directory.
2. Select Add and a blank Authorizing Agent record will appear.
3. Move to the Type field and select CM-Case Manager from the drop down list.
4. Move to the Group field and select 19-STAR+PLUS from the drop down list.
5. Leave the Send to TMHP field at the default selection N-NO.
6. Move to the Begin Date field and enter the date the record is being created. Leave the
End Date field at the default 00/00/0000.
7. Move to the Auth Agent field and enter STAR+PLUS.
8. Leave the Agency field at the default selection 324-DHS.
9. Move to the Name field and enter the SPSU/HMCO staff’s name.
10. Move to the Phone field and enter the telephone number of the authorizing agent.
Enter the area code, phone number and extension.
11. Move to the Mail Code field and enter the appropriate Managed Care Organization
(MCO) Plan Code from the table below.
Revised: 4/23/2012 2