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 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 Day Treatment Intensive 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 from approved by County, and clinical documentation that establishes the need for the service. 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 three (3) months or more frequently, if requested by County. iv. Contractor must request prior authorization for the provision of counseling, psychotherapy, and other similar intervention services, including Mental Health Services, beyond those provided in the Intensive Day Treatment Services. These services may not be provided at the same time as Intensive Day Treatment Services even if authorized. (Excluded from this authorization are services to treat emergency and urgent conditions, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Intensive Services.) Reauthorization of these services must occur on the reauthorization schedule determined by the Deputy Director or her designee and no later than on the same cycle as reauthorization for Day 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 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 Day Treatment Intensive 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 from approved by County, and clinical documentation that establishes the need for the service. 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 three (3) months or more frequently, if requested by County. iv. Contractor must request prior authorization for the provision of counseling, psychotherapy, and other similar intervention services, including Mental Health Services, beyond those provided in the Intensive Day Treatment Services. These services may not be provided at the same time as Intensive Day Treatment Services even if authorized. (Excluded from this authorization are services to treat emergency and urgent conditions, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Intensive Services.) Reauthorization of these services must occur on the reauthorization schedule determined by the Deputy Director or her designee and no later than on the same cycle as reauthorization for Day 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 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 Day Treatment Intensive 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 from form approved by County, and clinical documentation that establishes the need for the service. ii. b. Contractor must provide an additional prior authorization request for services that exceed five (5) days per week. iii. c. Contractor must request authorization for the continuation of services at least every three (3) months or more frequently, if requested by County. iv. d. Contractor must request prior authorization for the provision of counseling, psychotherapy, and other similar intervention services, including Mental Health Services, beyond those provided in the Intensive Day Treatment Services. These services may not be provided at the same time as Intensive Day Treatment Services even if authorized. (Excluded from this authorization are services to treat emergency and urgent conditions, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Intensive Services.) ). Reauthorization of these services must occur on the 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 reauthorization for Day Treatment Intensive Services. v. e. Authorization must specify the number of days per week as well as the length of time services will be provided.