Please read and follow the instructions carefully as there are specific procedures and protocols DDA and DHCF has implemented to address these areas of concern.

Service Authorization Information

If the services identified in the Service Authorization (SA) letter from DDA are incorrect, please send an email to the following persons:

• The persons Service Coordinator
• The Service Coordinator’s Supervisor
• Medicaid Waiver Specialist: [email protected]  
• Medicaid Waiver Unit Supervisor: [email protected]  

Providers must review all service authorizations daily to ensure the information reflected in the document is correct. At the end of each week, all approved services are processed to generate a Prior Authorization number (PA#) to bill and a Remittance letter from Xerox (PA letter) is produced. If the information on the SA is incorrect, the PA will be incorrect. Service Coordinators can only provide assistance with service requests and service authorizations, not billing. 

Examples

SA letter states Supported Living (Moderate) T2016 U4
Should be Supported Living (Basic) T2016 U8

Note: When providers receive the SA letter from DDA, make sure it is correct. If it is not correct, it will post incorrectly in MMIS. 

Discrepancies with Billing and Prior Authorization Issues:

If there is a discrepancy between the Service Authorization (SA) letter and the Prior Authorization (PA) letter or a billing issue, please review the attached document below titled “Billing and Technical Assistance Guidance- Updated 9.22.2023” and click the link at the bottom of the page to complete a Billing and Technical Assistance Form.

Please review and refer to the attachments below for BTAR instructions.