23-4, Sections 1220, 2132, 3200, 3511, 5311, 7200, 7612, Form 2603 Instructions Revised

Revision Notice 23-4; Effective Dec. 1, 2023

The following change(s) were made:

SectionTitleChange
1220Long Term Services and SupportsAmends language for clarification purposes. Updates the definition of attendant care services.
2132MCO Coordination Procedures for an MDCP Applicant Approved for a Limited NF StayAmends language for clarification purposes. Updates instructions for MCOs around limited nursing facility (NF) stay. Removes the word “service coordinator” from mentions of “MCO service coordinator”.
3200Member ReassessmentRemoves an incorrect reference to Community First Choice (CFC). Removes the word “service coordinator” from mentions of “MCO service coordinator”.
3511STAR+PLUS Transition ActivitiesUpdates link to STAR+PLUS Handbook.
5311Developing the Individual Service Plan in the CDS OptionUpdates instructions for completing denials, reductions in services and suspensions. Updates instructions in the Consumer Directed Services (CDS) option for a registered nurse (RN). Removes the word “service coordinator” from mentions of “MCO service coordinator”.
7200External Medical ReviewAmends language around the external medical review (EMR) process.
7612Reversed Appeal DecisionsUpdates language around PSU procedures for reversed appeal decisions.
Form 2603 InstructionsForm 2603, STAR Kids Individual Service Plan (ISP) NarrativeRevises instructions for when to prepare or update Form 2603. Provides clarification on documenting changes to services on the individual service plan (ISP) and provides clarification for when changes can be made.