Service authorization detail screen

This screen allows you to maintain and approve authorizations for placements or services documented on the case record. The screen reflects the cost information entered on the Agency Services screen or on the provider's Contract Details screen. If standardized or contract cost information is not already in the system, you can enter per diem cost information from this screen.

The value in the Cost Type field on this screen is filled in by the system but may be changed. In many situations, this field defaults to "Standardized." It defaults to "Contracted" in certain situations.

You can select "User Defined" in the Cost Type field for certain service descriptions. When you select "User Defined," the Basic Cost field and Calculate button are enabled.

The Per Diem Cost button is enabled for certain service descriptions. This button allows you to record certain add-on amounts to the cost.

How do I...

Fields on this screen

Service Description	This field is enabled for an "initial" placement service authorization record. It defaults to the description selected on the placement setting record. Any updates entered in this field also update the placement setting record and reset the cost type and contract cost ID. This field is required. This field cannot be modified for non-placement services.
Status	If the service requires approval, this field displays the current status of the authorization and cannot be edited. If this is a pre-approved service, select the current status of the authorization. The system defaults to "Pending" status. A record may be edited until it is in "Approved" status.
Cost Type	Select the cost type if the system-entered value does not apply. If you select User Defined, the Basic Cost field is enabled. You must cost amount in that field.
Vendor Number	If you selected User Defined in the Cost Type field, enter the vendor number. You can enter up to 30 characters. If you selected Contracted in the Cost Type field, the system enters the vendor number from the Contract Details screen on the provider's contract record. If you selected Standardized in the Cost Type field, the system enters the vendor number from the Payment Information Details screen on the provider's service credential record.
Begin Date	The system enters the begin date from the placement setting or case service record for the initial service authorization. For amended service authorization, enter the begin date of the service authorization. This date must be later than the begin date on the previous service authorization record. Use the format MM/DD/YYYY. This field is required.
Non-Reimbursable Placement Reason	If the agency is not being reimbursed under Title IV-E for the child's placement costs, select the reason.
Basic Cost	If the cost type listed above is "User Defined," enter the cost of the service. This field is required for a user-defined cost.
Comments	Enter additional information about the cost. You can enter up to 4,000 characters.