Financial Management Services - Pages - Self Direction Home金融管理服务-页-自家的方向.ppt

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2018-04-17 发布于江西
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Financial Management Services - Pages - Self Direction Home金融管理服务-页-自家的方向.ppt

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* * * Reimbursement of FMS FMS is reimbursed at $115.00 per member per month, (one unit=one month) Limited to one FMS provider per plan of care Reimbursement of claim Procedure code T2040(U2) must be submitted in field 24D of the CMS-1500 claim form Diagnosis code 780.99 in field 21 on the CMS-1500 claim form Dates of service must not overlap Client Obligation The assigned service provider must not reduce the billed amount on the claim by the client obligation because the liability will automatically be deducted as claims are processed. Documentation requirements Reimbursement of Self-Directed Service Reimbursement rate for self-directed service is program specific DSW rate is based on hourly wage and includes allowance for the following: SUTA FUTA FICA Workers Compensation Insurance The direct reimbursement rate per unit of service for self-directed service must not be less than the minimum rate established by SRS or KDOA Program Specific Roles Requirements(Reserved for specific programs) HCBS Waiver Program Managers KDOA Frail Elderly (FE): Krista Engel, Krista.Engel@ SRS Programs Mental Retardation/Developmental Disability(MR/DD): Greg Wintle, greg.wintle@ Physical Disability(PD): Candace Cobb, candace.cobb@ Technology Assisted (TA): Kimberly Pierson, kimberly.pierson@ Traumatic Brain Injury (TBI): Michael Deegan, michael.deegan@ Resources Community Supports Services: /agency/css/Pages/CSSServices.aspx Financial Management Services: /CaseManagersAndProviders/Pages/FMS_Information.aspx Kansas Medical Assistance Program https://www.kmap-state-ks.us/public/homepage.asp HCBS Enrollment Packet https://www.kmap-state-ks.us/Documents/Content/Checklists/HCBS.pdf Case Management Training Reserved for specific programs * * This training will focus on definition; responsibilities of individual doing the self-directing; FMS provider requirements, enrollment and reimbursement Waiver program specific FMS and self-directed service expectation requirements *