{"ref":"MO-HC-ADM-01","title":"Referrals, Service Authorizations, and Acceptance of Participants","category":"Service delivery","summary":"Sets out how the Agency receives referrals and DSDS service authorizations, records the date it receives each authorization, checks the authorization and the participant's MO HealthNet eligibility, decides on the basis of a reasonable expectation that it can meet the participant's needs whether to accept, and starts services within ten calendar days of receipt or on the beginning date the authorization specifies, whichever is later, sending DSDS a detailed written justification when it cannot.","inShort":["We deliver only services DSDS has authorized. Never start DSDS services before the authorization arrives.","Write the date we received each authorization on it, the same day.","Services must begin within 10 calendar days of receipt, or on the start date the authorization gives, whichever is later.","If a start will be late, the supervisor sends DSDS a detailed written reason and keeps a copy in the file.","Check the participant's MO HealthNet eligibility on each day services are provided."],"primaryCitation":"19 CSR 15-7.021(18)(J)","citations":["19 CSR 15-7.021(1)","19 CSR 15-7.021(15)","19 CSR 15-7.021(18)(A), (G), (J), (M)","19 CSR 15-7.021(22)(A)1, (22)(C)","13 CSR 70-91.010(1)(A), (1)(B)1, (3)(A)","13 CSR 70-91.010(5)(F)2.A","MMAC In-Home Services Program Requirements 2.1, 2.2, 5.1, 5.2, 5.3","MO HealthNet Personal Care Provider Manual §§2.1, 2.2, 2.13, 2.15, 2.16, 3.1, 3.3, 3.4"],"federalCitations":[],"surveyorAsks":["Show me the date of receipt recorded on this participant's service authorization, and the first date services were delivered.","This start was late. Where is the written justification you sent to DSDS, and the copy in the participant's file?"],"forms":[{"ref":"MO-HC-ADM-01-A","title":"Service Authorization Receipt and Start-of-Service Record"},{"ref":"MO-HC-ADM-01-B","title":"Late Start Justification to DSDS"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (19 CSR 15-7.021(18)(J))","5. How Referrals and Authorizations Reach the Agency","6. Recording and Checking Each Authorization","7. Deciding Whether to Accept","7.1 Accepting","7.2 Declining","8. MO HealthNet Eligibility and Coverage","9. Starting Services on Time","10. When a Start Will Be Late","11. Before the First Visit","12. Responsibilities","13. Records and Compliance Monitoring","14. Staff Training","15. References","16. Related Policies and Forms","17. Approval","18. Revision History"],"version":"1.0","sample":false,"pack":"mo-hca","state":"Missouri","service":"Home care","guides":[{"path":"/guides/home-care-agency-policies/","h1":"What policies does a home care agency need?"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}