AAU Provider Update: Submission of Annual Reassessment Service Plans

This is a follow-up to the Nov. 10, 2010 AAU Update concerning the submission of Annual Reassessment Service Plans. To avoid risk of coming off referral, Case Management Provider agencies are required to meet the following standards effective March 1, 2011.  Listed below are the Annual Reassessment Service Plan requirements.

ANNUAL REASSESSMENT SERVICE PLAN REQUIREMENTS

The standards for the submission of Annual Reassessment Service Plans are again as follows:

1. OKDHS AAU must receive annual Reassessment Service Plans for authorization no earlier than 60 and at least 30 calendar days before the current plan end date.
2. Annual Reassessment Service Plans received more than 60 calendar days before the current plan end date will be returned to the Case Management Provider agency with the expectation that they will reevaluate the ADvantage Member and resubmit the Annual Reassessment Service Plan within the appropriate timeframes. Reassessment Plans received less than 30 calendar days prior to the current plan end date are considered late.
3. Case Management Providers who have 25 percent or more of their Annual Reassessment Service Plans received late for the most recent three (3) consecutive months beginning Dec. 1, 2010, will be involuntarily taken off referral for a minimum of three (3) months.  The earliest “off referral” decision, would become effective beginning March 2011.
4. In order to be placed back on referral, the Case Management Provider must sufficiently demonstrate to OKDHS AAU that they have policies and procedures in place to ensure Service Plans are completed and submitted within mandated policy timeframes.

RELATED REFERENCE SOURCES:

Oklahoma Administrative Code: 317:35-17-14. Case Management Services

“The case manager completes and submits to the AA the annual reassessment service plan documents no sooner than 60 days before the existing service plan end date but sufficiently in advance of the end date to be received by the AA at least 30 calendar days before the end date of the existing service plan.”

If you have any questions or concerns regarding the information provided above, please feel free to contact us via email at Provider Questions.