Service Authorization Warning and Error Messages

When adding or editing a service authorization, the information entered is validated. Learn about the warning and error messages that may appear here.


Table of Contents


Warnings

A warning highlights a potential issue or conflict, but does not stop you from moving forward.

Appears when: The amount entered in the "Service Rate" field is lower than the state's current rate. 

  • Clicking on the button will ignore the warning and save the rate you entered in the "Service Rate" field.
  • Clicking on the button will take you back to the editing screen so that you can enter the updated rate in the "Service Rate" field.

Appears when: Adding a new service authorization or updating the date range of an existing one and there are schedules within the date range not tied to a service authorization.

  • Clicking on the button will save and tie the service authorization to the existing schedules that are without a service authorization.
  • Clicking on the button will cancel.

Appears when: Editing the date range when schedules have already been worked.

  • Select if you'd like to "Orphan" or "Delete" entered, non-worked schedules that fall outside of the newly selected date range.
  • Select "Yes" to automatically adjust the care plan's date range to match the service authorization or "No" to keep the care plan's date range as is.
  • Clicking on the button will save, unlinking worked schedules from a service authorization and updating based on the selections chosen.
  • Clicking on the button will cancel.

Note: The term "orphan" means to no longer be tied to a service authorization. 


Appears when: Editing the date range when entered, unworked schedules exist.

  • Select if you'd like to "Orphan" or "Delete" entered, non-worked schedules that fall outside of the newly selected date range.
  • Select "Yes" to automatically adjust the care plan's date range to match the new date range selected or "No" to keep the care plan's date range as is.
  • Clicking on the button will save and update based on the selections chosen.
  • Clicking on the button will cancel.

Note: The term "orphan" means to no longer be tied to a service authorization. In order to bill, a service authorization must be tied to a schedule. 


Appears when: Editing the number of units to be less than what's been scheduled.

  • Click on the button to delete all schedules in the "Entered" status.
  • Clicking on the button will cancel.

Appears when: Editing the number of units to a value less than the sum of what's been worked and scheduled already.

  • Clicking on the button will save the changes and delete all schedules in the "Entered" status.
  • Clicking on the button will cancel.

Appears when: Editing the date range and only 1 care plan is associated with the service authorization.

  • To automatically update the care plan's date range to be the new date range entered in the service authorization, select "Yes".
  • Clicking on the button will save the changes.
  • Clicking on the button will cancel.

Appears when: Editing the date range and there are multiple care plans associated with the service authorization.

  • Clicking on the button will save the changes.
  • Click on the button to cancel.

Next steps: Manually edit the tied care plan's date ranges.


Appears when: Editing the procedure code.

  • Clicking on the button will save the changes and delete all schedules in the "Entered" status.
  • Clicking on the button will cancel.

 

Errors

An error message highlights an issue that needs to be resolved in order to move forward.

Appears when: Another service authorization for the same procedure codes already exists within the date range selected. 

  • Clicking on the button will dismiss the message.
Next steps: Locate the existing service authorization and adjust if necessary.

Appears when: The "Send Agency NPI (Use for Waiver)" toggle has been set to "Yes" for the procedure code T1019.

  • Clicking on the button will dismiss the message.

Next steps: Change the "Send Agency NPI (Use for Waiver)" toggle to the "No" position.


Appears when: Editing the number of units to be less than what has already been worked.

  • Clicking on the button will dismiss the message.

Next steps: Reject or edit existing worked schedules until the total units used matches what you are entering.


Appears when: Editing the procedure code and schedules have been worked.

  • Clicking on the button will dismiss the message.

Next steps: Reject existing worked schedules until the total units used matches what you are entering.


Appears when: Editing the procedure code and timesheets have been generated.

  • Clicking on the button will dismiss the message.

Next steps: Delete timesheets that have been generated and reject existing worked schedules until the total units used matches what you are entering.


Appears when: Editing the procedure code and schedules have been billed.

  • Clicking on the button will dismiss the message.

Next steps: Void any claims that have been submitted, delete timesheets that have been generated and reject existing worked schedules until the total units used matches what you are entering.