Bulletin ID: No. 30 - Billing and Authorization Accountability Points to Note
Monday, October 1, 2007
- Providers must bill for the service provided (no Rehab Day billed as Community Support –Group).
- Care Coordination service authorization processes must be followed. Specifically, Rehab Day requires medical necessity and an authorization.
- Service authorization periods must not be manipulated to secure additional units not specifically authorized by Care Coordination.
If you have further questions, please contact:
Venida Y. Hamilton, Director Provider Relations (202) 671-3155, or
Dan Byrne, LICSW, Director Quality Improvement (202) 673-2255