Common use of Authorizations for Member Services Clause in Contracts

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Supportive Home Care authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS CSL authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHCResidential-SDSCSL-Home Health NH-Therapy Support Team at ACSACS- Xxxxxxxxxxx-XXX-XX-Xxxxxxx@xxxxxxx.xxx or 0-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.66.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Supportive Home Care authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.67.7

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Consultative Clinical and Therapeutic Services for Caregivers authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACSXXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 0-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Transportation authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHCTransportation-SDS-Home Health Employment Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-Xxxxxxxxxxxxxx-Xxxxxxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.64.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS PT, OT, and SLP authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHCResidential-SDSCSL-Home Health NH-Therapy Support Team at ACSXXX-Xxxxxxxxxxx-XXX-XX-Xxxxxxx@xxxxxxx.xxx or 0-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.66.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Housing Counseling authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Mental Health/AODA authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHCResidential-SDSCSL-Home Health NH-Therapy Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-Xxxxxxxxxxx-XXX-XX-Xxxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 76. 7.6

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Mental Health/AODA authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHCResidential-SDSCSL-Home Health NH-Therapy Support Team at ACSXXX-Xxxxxxxxxxx-XXX-XX-Xxxxxxx@xxxxxxx.xxx or 0-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.66.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Independent Nursing authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Training for Unpaid Caregivers authorizations and requests for Provider Portal assistance should be directed to the Inclusa Provider SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Housing Counseling authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Consultative Clinical and Therapeutic Services for Caregivers authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 0-000-000-0000, ext. 7. 7.6.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Supported Employment authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Transportation- Employment Support Team at ACSXXX-Xxxxxxxxxxxxxx-Xxxxxxxxxx@xxxxxxx.xxx or 0-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.64.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Independent Nursing authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 0-000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 0-000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Daily Living Skills Training authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Transportation- Employment Support Team at ACSXXX-Xxxxxxxxxxxxxx-Xxxxxxxxxx@xxxxxxx.xxx or 0-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.64.

Authorizations for Member Services. The Inclusa Provider Portal is used by providers to obtain information about current authorizations. In addition, the provider must use the portal to acknowledge all new authorizations. The provider agency is responsible for ensuring that only currently employed and authorized staff have access to the provider portal, and for using the member authorization information available on the portal to bill for services accurately. For authorization needs such as new authorizations, additional units, or missing authorizations, during normal Inclusa business hours (8:00 a.m. to 4:30 p.m.) the provider should contact the Inclusa team (Community Resource Coordinator or Health and Wellness Coordinator). If your authorization request is an emergent need impacting the member’s health and safety and you cannot reach the Inclusa team: • During Inclusa business hours – call 000-000-0000 and press 0 for assistance. • After Inclusa business hours – call 000-000-0000 and press 9 to be connected to our after-hours support. Questions regarding billing or claims for current PERS Home Health authorizations and requests for Provider Portal assistance should be directed to the Inclusa SHC-SDS-Home Health Support Team at ACS-SHC-SDS- XxxxXxxxxx@xxxxxxx.xxx XXX-XXX-XXX-XxxxXxxxxx@xxxxxxx.xxx or 000-000-0000, ext. 7. 7.6.