Medicaid Service Update
To: ADvantage Case Management and Home Delivered Meal Providers
Subject: Communicating End/Transfer Dates for Home Delivered Meal Services
Date: November 29, 2022
Per Bulletin dated 4/11/2022, the Case Manager (CM) should be following the process below when ending or changing providers for Home Delivered Meal (HDM) services.
Step 1: The CM must contact the outgoing meal provider (by phone or Harmony note) to advise their service is ending and request an appropriate future end date for their authorization. This future end date should allow for a minimum of 5 business days from the date the request is submitted to MSU for the request to be processed. MSU cannot backdate an ending service.
Step 2: When updating the Service Plan, the CM will update the line status on the existing S5170 line to End Service (Provider Use Only) and add the future end date information obtained in Step 1 to the Comments box on the same line.
Step 3: If the Member has selected a new provider, the CM will use the outgoing provider’s authorization end date + 1 day as the begin date on the S5170 line for the new provider using a line status of New Request (Provider Use Only).
Please note that the following actions will be taken by MSU if no end date is provided:
HDM service being ended – authorization will be ended on the next Sunday after the date of processing. Please be advised that a service can only be ended with submission of a signed SA/TR v3 form for Ending Service.
HDM service being transferred to a new provider – new provider will not be authorized, and condition will be added requesting the appropriate future end date for the outgoing provider.
If you have any questions regarding the information provided above, please feel free to contact us via Harmony Provider Question.
COMMUNITY LIVING, AGING AND PROTECTIVE SERVICES (CAP)
MEDICAID SERVICES UNIT (MSU)
ADvantage Administration | State Plan Care Unit | Medical Eligibility Services
Office: 918-933-4900 | CareLine: 800-435-4711
