DATE: JUNE 22, 2001
Manual: AGED, BLIND AND DISABLED
Change No. 03-02
To: County Directors of Social Services
Effective: July 1, 2001
In an effort to streamline the processing of the FL-2 and MR-2, the procedures for submitting the forms are revised effective July 1, 2001. Presently, providers submit the completed FL-2/MR-2 to the county DSS. Providers will be notified of the change in the July 2001 Medicaid Bulletin.
Also, providers were notified in the January 2001 Medicaid Bulletin of changes in the retroactive prior approval process. Those changes are incorporated in this policy.
Providers will now submit the completed FL-2 or MR-2 directly to EDS instead of to the county. EDS will return the approved FL-2 or MR-2 to the county DSS for processing. The DSS will then forward a copy of the approved form to the facility. If a provider sends the completed FL-2/MR-2 to the county, the county should forward the form to EDS and notify the provider of the new procedure. Counties can process a case using telephone verification of the prior approval by the facility. MA-2270 is revised to reflect the change.
MA-2270 is also revised to include the new regulations that were effective January 1, 2001, regarding retroactive prior approval. There are two major changes in this revision. One change is that retroactive prior approval will not be granted for time periods exceeding 90 days from the date Medicaid is authorized. The other change is
that medical records are required if the request for retroactive approval includes dates more than 30 days after the telephone approval of the FL-2.
Policy is also updated to remove the instructions to counties to notify the nursing facility that the physician may write a prescription for more than a 30-day supply. Counties were instructed to do this when the nursing home recipient routinely has more than 6 prescriptions. Effective July 1, 2001, physicians can no longer write prescriptions for more than a 34-day supply.
Remove MA-2270, pages 1-2, 19-20, 29-30a, 35-36, 39-44
Insert MA-2270, pages 1-2, 19-20, 29-30a, 35-36, 39-44.
If you have any questions, please contact your Medicaid Program Representative.
Paul R. Perruzzi
(This material was researched and written by Renee Boston, Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.