Question: When Does the Service Authorization Screen Populate with Dollar Amounts?

Question:  When does the Service Authorization screen populate with dollar amounts?

 

Question:  Contracted money amounts are not listed on authorization screen.  Why?

 

  

Answer: When the Service Authorization is created from either the Placement Record or Case Service Record, it will have one of three Cost Types associated to it: Contracted, Standardized, or User Defined.

 

The following Cost Types will be identified on the Service Authorization:

 

1. Contracted - This means the service being provided is associated to a network provider with a contract set up in SACWIS that has costs associated to the service. If the cost type on the service authorization is Contracted then the dollar amounts will pre-fill the Maintenance and Administrative fields on the service authorization.

 

2. Standardized - This means the service being provided is associated to an agency's foster home where services have been set up in SACWIS with costs associated to the service. If the cost type on the service authorization is Standardized then dollar amounts will pre-fill the Maintenance and Administrative fields on the service authorization.

 

 3. User Defined - This means the system needs to validate that the service being provided has an associated service cost record or has been defined in the system as a service that the provider offers. The Maintenance and Administrative fields on the service authorization will display as 0. The Basic Cost field will be enabled allowing the service authorization worker to enter the amount that was paid to the provider.

 

If dollar amounts do not display at all it could mean there is a discrepancy that needs to be corrected by the appropriate county agency worker. Discrepancies may include the following:

 

1. The service on the placement record does not match a service in the contract. Verify the placement service for the child has been set up as a service on the network provider's contract that has been set up in SACWIS.

 

2. The contract begin / end dates, or the service cost begin / end dates set up in the contract for the network provider, have expired and are outside of the placement period.

 

3. The system does not consider the placement to be purchased care and is therefore not looking for a contract. (The system considers all CRC, Group Home, and Residential Parenting Facilities placements to be purchased care, as well as all foster home placements where the recommending agency is not a PCSA.)

 

4. If the cost type is Standardized, verify the service has been set up in SACWIS with an associated cost in the Maintain Services area.