Authorization Co-Payment Assessment Detail

Use this procedure to record authorization co-payment information for a specific child on the case.

Process Steps:

To enter the authorization co-payment amount for a child:

The Family Co-Pay Summary page displays.

1. Click the edit icon next to an authorization co-payment assessment.

   • The Authorization Co-Pay Assessment Detail page displays.

1. The Authorization Co-Payment Assessment Detail page specifies the portion of the family co-payment that should be applied to an authorization.  If a family has multiple children authorized to the same vendor, the VaCMS subtracts the total co-payment amount from the payment to the vendor regardless of how it is split among authorizations. If a family has multiple children authorized to different vendors, the VaCMS deducts the co-payment amount according to the co-payment amount assigned to the authorizations for each vendor.

2. Enter the Effective Begin Date for the co-payment amount (required).

1. The effective begin date of the authorization co-payment amount must always be the first of the month and greater than or equal to the family co-payment effective begin date. The authorization co-payment amount effective begin date is set to the first of the month following the child’s authorization begin date, unless the authorization begin date falls on the first of the month.

3. Enter the co-payment amount in the Expected Co-Pay field (required).

1. The sum of all authorization co-payment amounts must be equal to the family co-payment amount. When the sum of all authorization co-payment amounts is more than the family co-payment amount, a warning message displays and the information cannot be saved. When the sum of all authorization co-payment amounts is less than the family co-payment amount, a warning message displays to update the co-payment amount. If the sum of all authorization co-payment amounts does not equal the family co-payment amount overnight, the VaCMS sends a reminder to the worker’s VaCMS homepage.

4. Select the Override Reason Code from the dropdown menu, if applicable.

5. Click Save + Continue.

   • The Family Co-Pay Summary page displays.

6. Click Next.

   • The Need for Services Standard Schedule page displays.

7. Proceed to Need for Services Schedule.

Results of the Procedure:

The authorization co-payment information is recorded.

Updated 05/02/2014