September 24, 2013
Community Bulletin #9
offers plan to eliminate the backlog by October 11th. Read it here.
DBHDS is confirming with DMAS the process to be used to request additional documentation from the provider “If, upon later review, the clinical documentation does not support the authorization . . .”
The bulletin also suggests that providers utilize the IDOLS system to open and carefully review “approved” ISARs to confirm the hours/units and start date. PLEASE NOTE that IDOLs and VaMMIS are not connected; billing can only occur if the dates and hours/units are correctly entered in VaMMIS. The provider should verify the approved dates and hours/units by comparing it to the Pre-Authorization confirmation which comes directly from DMAS.