Discontinue an Authorization and Update Co-Payment

Use this procedure to discontinue an existing authorization and update the child’s co-payment amount.

 

The co-payment amount must be set to zero for the discontinued authorization to apply the co-payment to a new authorization.

 

 

 

Process Steps:

To discontinue an existing authorization and zero out the co-payment:

  1. From the Left Navigation menu, select Authorization Management, then select Maintain Authorization, then Authorization Search.

  2. In the Authorization Information section:

  3. Click Search.

  4. In the Authorization Search Results section:

  5. The Authorization Status Information page displays.

 

The authorization status effective begin date must be in the future when changing the status to Discontinued, Suspended, or Waitlist.

An existing authorization status of Discontinued, Suspended or Waitlist can be updated to Authorized retroactively back to effective begin date of the existing status.

The VaCMS generates a Notice of Action when a child’s authorization status is changed to Suspended or updated from Suspended to Authorized.

 

 

 

 

 

 

 

 

 

 

  1. Enter the Effective Begin Date for the authorization (required).

 

The Effective Begin Date is the first day the authorization is discontinued.

 

 

 

 

  1. Select Discontinued from the Status dropdown menu (required).

  2. Select a Reason from the dropdown menu (required).

  3. Click Save + Continue.

  1. Click Next.

  1. Click Save + Continue.

 

Zero out the co-payment for the discontinued authorization. This allows the co-payment to be applied to any new or existing authorizations for the case.

 

 

 

 

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

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

 

The discontinued authorization co-payment amount effective begin date is set to the first of the month following the last month services authorized.

 

 

 

 

  1. Enter 0 in the Co-Pay Amount field (required).

  2. Select the Override Reason from the dropdown menu if applicable.

  3. Click Save + Continue.

  4. From the Left Navigation menu, select Authorization Search.

 

Apply the co-payment that was zeroed out from the discontinued authorization to a newly created authorization or to an existing authorization for the family if they continue to receive services.

 

 

Results of the Procedure:

An authorization is discontinued.


Updated 05/02/2014