Frequently Asked Questions

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Is the 90 days of service, before authorization is needed for CFTSS, guaranteed for every child who is recommended for a service or only those that are beginning services on day one of the service becoming available (1-1-19)?

For OLP, CPST, and PSR, the State has extended the UM prohibition from 90 days to 180 days. This time period is from January 1, 2019 through June 30, 2019. This is a fixed timeframe, regardless of when the child begins receiving services. The purpose of this is to prevent disruptions in care while MMCPs and providers gain experience with services.

Source: UM for CFTSS: OLP, PSR, CPST 9.18.18

For children currently enrolled in transitioning Waiver services, is there a different authorization period? Is it still the case, that children will be authorized for 6 months after go live for any service they are currently receiving?

The 6 month provision is for the MMCP authorizing existing Plans of Care for children in HCBS and begins when HCBS become part of the managed care benefit package, currently targeted for Oct 1, 2019.

Source: UM for CFTSS: OLP, PSR, CPST 9.18.18