9600, MDCP/CCCP Transitioning to STAR+PLUS HCBS Program

Revision 18-0; Effective September 4, 2018

For Medically Dependent Children Program (MDCP)/Comprehensive Care Program (CCP)/Private Duty Nursing (PDN) members who are transitioning to the STAR+PLUS Home and Community Based Services (HCBS) program, Program Support Unit (PSU) staff will enter the initial STAR+PLUS HCBS program eligibility into the Service Authorization System Online (SASO) using the steps for initial eligibility with one exception. The effective begin date for all records will be the first of the month following the member’s 21st birthday.

It is possible the medical records (Medical Necessity, Level of Care or Diagnosis) will have to be extended in SASO to cover the entire individual service plan (ISP) period.