Common use of Authorization Requests Clause in Contracts

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements: i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six (6) months, or more frequently if requested by County. iv. Contractor must request authorization for the provision of counseling and other similar intervention services beyond those provided in the Day Treatment Services. These services may not be provided to a Day Rehabilitation Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Services.) Authorization of these services must occur on the authorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization for Day Rehabilitation Services. v. Authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Intensive Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor Day Treatment Intensive Services contractor must meet the following authorization requirements: i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six three (63) months, or more frequently if requested by County. iv. Contractor must request authorization for the provision of counseling counseling, psychotherapy, and other similar intervention services services, including Mental Health Services, beyond those provided in the Day Treatment Intensive Services. These services may not be provided to a at the same time as Day Rehabilitation Treatment Intensive Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Intensive Services.) Authorization of these services must occur on the authorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization for Day Rehabilitation Treatment Intensive Services. v. Authorization The authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Intensive Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor Day Treatment Intensive Services contractor must meet the following authorization requirements: i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two (2) weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two (2) weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six three (63) months, months or more frequently frequently, if requested by County. iv. Contractor must request prior authorization for the provision of counseling counseling, psychotherapy, and other similar intervention services services, including Mental Health Services, beyond those provided in the Intensive Day Treatment Services. These services may not be provided to a at the same time as Intensive Day Rehabilitation Treatment Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction authorization are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Intensive Services.) Authorization Reauthorization of these services must occur on the authorization reauthorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization reauthorization for Day Rehabilitation Treatment Intensive Services. v. Authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Intensive Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor Day Treatment Intensive Services contractor must meet the following authorization requirements: i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six three (63) months, or more frequently if requested by County. iv. Contractor must request authorization for the provision of counseling counseling, psychotherapy, and other similar intervention services services, including Mental Health Services, beyond those provided in the Day Treatment Intensive Services. These services may not be provided to a at the same time as Day Rehabilitation Treatment Intensive Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Intensive Services.) Authorization of these services must occur on the authorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization for Day Rehabilitation Treatment Intensive Services. v. Authorization The authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements: i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two (2) weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two (2) weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six (6) months, or more frequently if requested by County. iv. Contractor must request authorization for the provision of counseling and other similar intervention services beyond those provided in the Day Treatment Services. These services may not be provided to a Day Rehabilitation Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Services.) Authorization of these services must occur on the authorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization for Day Rehabilitation Services. v. Authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Rehabilitative Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements: i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two (2) weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two (2) weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six three (63) months, or more frequently if requested by County. iv. Contractor must request authorization for the provision of counseling counseling, psychotherapy, and other similar intervention services services, including Mental Health Services, beyond those provided in the Day Treatment Intensive Services. These services may not be provided to a at the same time as Day Rehabilitation Treatment Intensive Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services TBS that are provided on the same day as Day Treatment Rehabilitation Intensive Services.) Authorization of these services must occur on the authorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization for Day Rehabilitation Treatment Intensive Services. v. Authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or her designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Rehabilitative Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements: i. Contractor must request prior authorization for payment from County using the Authorization Form or a similar form from approved by County, County and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization request for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six (6) months, months or more frequently frequently, if requested by County. iv. Contractor must request prior authorization for the provision of counseling and other similar intervention services beyond those provided in the Rehabilitative Day Treatment Services. These services may not be provided to a Rehabilitative Day Rehabilitation Treatment Services client during the Rehabilitative Day Rehabilitation Treatment Services program hours, even if such service is authorized. (Excluded from this restriction authorization are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Rehabilitative Services.) Authorization Reauthorization of these services must occur on the authorization reauthorization schedule determined by the BHRS Deputy Director of Child and Youth Services or her designee and no later than on the same cycle as authorization reauthorization for Day Rehabilitation Treatment Rehabilitative Services. v. Authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Rehabilitative Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements: i. Contractor must request prior authorization for payment from County using the Authorization Form or a similar form from approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six (6) months, months or more frequently frequently, if requested by County. iv. Contractor must request prior authorization for the provision of counseling and other similar intervention services beyond those provided in the Rehabilitative Day Treatment Services. These services may not be provided to a Rehabilitative Day Rehabilitation Treatment Services client during the Rehabilitative Day Rehabilitation Treatment Services program hours, even if such service is authorized. (Excluded from this restriction authorization are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Rehabilitative Services.) Authorization Reauthorization of these services must occur on the authorization reauthorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization reauthorization for Day Rehabilitation Treatment Rehabilitative Services. v. Authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Intensive Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor Day Treatment Intensive Services contractor must meet the following authorization requirements: i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization. ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. Contractor must request authorization for the continuation of services at least every six three (63) months, or more frequently if requested by County. iv. Contractor must request authorization for the provision of counseling counseling, psychotherapy, and other similar intervention services services, including Mental Health Services, beyond those provided in the Day Treatment Intensive Services. These services may not be provided to a at the same time as Day Rehabilitation Treatment Intensive Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Intensive Services.) Authorization of these services must occur on the authorization schedule determined by the BHRS Deputy Director of Child and & Youth Services or designee and no later than on the same cycle as authorization for Day Rehabilitation Treatment Intensive Services. v. Authorization The authorization must specify the number of days per week as well as the length of time services will be provided.

Authorization Requests. The BHRS Deputy Director of Child and Youth Adult Services or her designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Treatment Rehabilitative Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements: i. a) Contractor must request prior authorization for payment from County using the Authorization Form or a similar form from approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization. ii. b) Contractor must provide an additional prior authorization for services that exceed five (5) days per week. iii. c) Contractor must request authorization for the continuation of services at least every six (6) months, months or more frequently frequently, if requested by County. iv. d) Contractor must request prior authorization for the provision of counseling and other similar intervention services beyond those provided in the Rehabilitative Day Treatment Services. These services may not be provided to a Rehabilitative Day Rehabilitation Treatment Services client during the Rehabilitative Day Rehabilitation Treatment Services program hours, even if such service is authorized. (Excluded from this restriction authorization are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Rehabilitative Services.) Authorization Reauthorization of these services must occur on the authorization reauthorization schedule determined by the BHRS Deputy Director of Child and Youth Adult Services or designee and no later than on the same cycle as authorization reauthorization for Day Rehabilitation Treatment Rehabilitative Services. v. e) Authorization must specify the number of days per week as well as the length of time services will be provided.