Authorization Requests Sample Clauses
Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Rehabilitation Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements:
i. Contractor must request authorization for payment from County using the Authorization Form or a similar form approved by County, and clinical documentation that establishes the need for the service. For initial authorizations, contractor must complete the Initial Authorization Request form within two weeks following the client’s entry to the Day Treatment Program. Thereafter, requests for reauthorization of services must be submitted at least two weeks prior to end date of the previous authorization.
ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week.
iii. Contractor must request authorization for the continuation of services at least every six (6) months, or more frequently if requested by County.
iv. Contractor must request authorization for the provision of counseling and other similar intervention services beyond those provided in the Day Treatment Services. These services may not be provided to a Day Rehabilitation Services client during the Day Rehabilitation Services program hours, even if such service is authorized. (Excluded from this restriction are services to treat emergency and urgent conditions, medication support services, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitation Services.) Authorization of these services must occur on the authorization schedule determined by the BHRS Deputy Director of Child and Youth Services or designee and no later than on the same cycle as authorization for Day Rehabilitation Services.
v. Authorization must specify the number of days per week as well as the length of time services will be provided.
Authorization Requests. The Deputy Director or designee will authorize all payment. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed Contractor must meet the following authorization requirements:
a. Contractor must submit clinical documentation that establishes the need for the service prior to enrolling a client into the Non-Public School Intensive Mental Health Services program.
b. Contractor must request authorization for the continuation of services at least every twelve (12) months or more frequently, if requested by County.
c. Authorization requests, in the form of a Client Plan as defined in (Paragraph I.A.7. of this Exhibit A), must specify the number of sessions per month services will be provided.
Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Treatment Intensive Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for Day Treatment Intensive Services contractor must meet the following authorization requirements:
i. Contractor must request prior authorization for payment from County using the Authorization Form or a similar from approved by County, and clinical documentation that establishes the need for the service.
ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week.
iii. Contractor must request authorization for the continuation of services at least every three (3) months or more frequently, if requested by County.
iv. Contractor must request prior authorization for the provision of counseling, psychotherapy, and other similar intervention services, including Mental Health Services, beyond those provided in the Intensive Day Treatment Services. These services may not be provided at the same time as Intensive Day Treatment Services even if authorized. (Excluded from this authorization are services to treat emergency and urgent conditions, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Intensive Services.) Reauthorization of these services must occur on the reauthorization schedule determined by the Deputy Director or her designee and no later than on the same cycle as reauthorization for Day Treatment Intensive Services.
v. Authorization must specify the number of days per week as well as the length of time services will be provided.
Authorization Requests. The Deputy Director of Child and Youth Services or designee will authorize all payment for Outpatient Mental Health Services. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed Contractor must meet the following authorization requirements:
a. Contractor must request prior authorization for payment from County using the Authorization Form or a similar from approved by County, and clinical documentation that establishes the need for Outpatient Mental Health Services.
b. Contractor must provide an additional prior authorization for Outpatient Mental Health Services that exceed five (5) days per week.
c. Contractor must request authorization for the continuation of Outpatient Mental Health Services at least every six (6) months or more frequently, if requested by County.
d. Authorization must specify the number of days per week as well as the length of time Outpatient Mental Health Services will be provided.
Authorization Requests. I. Description of Phase One Project Describe the candidate project as selected for Phase One authorization, including PPL/fact sheet scale map depicting the project boundary and project features, written description of the conceptual features of the project as authorized for Phase One, a summary of the benefits attributed to the Phase One project (e.g., goals/strategies, WVA results, and acreage projections), and project budget information as estimated at Phase One authorization (e.g., anticipated costs of construction, O&M, monitoring, etc.)
Authorization Requests. The BHRS Deputy Director of Child and Youth Services or designee will authorize payment for all admissions of San Mateo County clients to the Day Treatment Rehabilitative Services program. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed for services Contractor must meet the following authorization requirements:
i. Contractor must request prior authorization for payment from County using the Authorization Form or a similar from approved by County, and clinical documentation that establishes the need for the service.
ii. Contractor must provide an additional prior authorization for services that exceed five (5) days per week.
iii. Contractor must request authorization for the continuation of services at least every six (6) months or more frequently, if requested by County.
iv. Contractor must request prior authorization for the provision of counseling and other similar intervention services beyond those provided in the Rehabilitative Day Treatment Services. These services may not be provided to a Rehabilitative Day Treatment Services client during the Rehabilitative Day Treatment Services program hours, even if such service is authorized. (Excluded from this authorization are services to treat emergency and urgent conditions, and Therapeutic Behavioral Services that are provided on the same day as Day Treatment Rehabilitative
Authorization Requests. The Deputy Director or her designee will authorize all payment. Authorization will be based at a minimum on medical and service necessity criteria in State Medi-Cal guidelines and regulations. In order to be reimbursed Contractor must meet the following authorization requirements:
a. Contractor must submit clinical documentation that establishes the need for the service prior to enrolling a client into the Non-Public School Intensive Mental Health Services program.
b. Contractor must request authorization for the continuation of services at least every twelve (12) months or more frequently, if requested by County.
c. Authorization requests (Client Services Treatment Plan) must specify the number of sessions per month services will be provided.
Authorization Requests. Merchant and ATM authorizations are handled 24 hours a day, 365 days a year. Authorization activity will be reviewed quarterly with any adjustments taking effect on the first day of the next calendar quarter. Authorization fees are set forth in subsections 7.1, 7.2 and 7.3 below. Only one billing category applies. Fee reductions are applied once volumes reach start point for the next tier.
7.1 For institutions requiring signature based authorization processing via a PBF or Parameter. [*]
7.2 For institutions requiring signature based authorizations routed to their host (gateway) [*]
7.3 For institutions requiring signature, PIN* and/or ATM terminal authorization processing. [*] * PIN routing requiring regional network access.
Authorization Requests. Includes handling of incoming authorizations against positive balance and velocity parameters residing at Certegy and ATM PIN requests. [*] The above tiers will be adjusted semi-annually.