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BAM 430 2 of 9 SDA SPECIAL LIVING ARRANGEMENT AUTHORIZATION AND PAYMENT BPB 2019-014 10-1-2019
BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Provider enrollment and payment authorization information are entered in Bridges. Payment is then made to the provider based on the number of days billed by the provider compared to authorization information; see Authorizing SDA/SLA Provider Payment in this item. The provider payment does not include the client incidentals allow- ance. Incidentals are placed on the client’s Bridge Card by elec- tronic benefits transfer (EBT). Provider payments go directly to the provider. Authorizing SDA/SLA Provider Payments After the case has been opened in Bridges, authorize the provider payment. The authorization timeframe is only for the time period the client was in that provider's facility. An invoice (DHS-768) must be sent to the provider for each month in the authorization. The invoice allows the provider to bill for services provided. Note: It is recommended you send enough invoices (DHS-768) to the provider to cover the authorization period for a year (at least 12) at opening. Authorizations are entered in Bridges, located in data collection, wrap up, SDA provider assignment. Authorizations are for whole months or portions of months. The authorization must reflect: • The assigned provider. • Dates the client resided in the facility. If the end date is unknown it is appropriate to align the authorization date with the redetermination date. • Service Code based on type of care and provider type. An authorization can be entered only if: • Bridges shows either that SDA is currently active or that it was active for the period being authorized. • The authorization begin date is no more than 10 days prior to the date of application (registration).