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BAM 430 3 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

• The authorization end date is within the previous or next 12 months. If appropriate it should coincide with the redetermination date. AUTHORIZATION CHANGES

Incorrect Services Codes In Bridges, if an incorrect service code has been entered or if pay- ment has been made for any portion of the authorization period, enter the correct information and rerun Eligibility. See Underpay- ments to Providers and Overpayments to Providers in this item for correction procedures. Change Client Pay Bridges will determine the client pay amount when the clients income information is entered or changed. The CSCD entered will determine the effective date of the change. A client pay amount can be changed monthly but is always effective for a calendar month. Increases in client pay amount require timely notice and decreases require adequate notice. Authorizations may never be changed ret- roactively to increase a client pay amount. Retroactive Adjustments Authorizations can be changed retroactively if incorrect and the change is for a period within the past 12 months. Submit requests for changes older than 12 months through the exception process. Unpaid Portions Unpaid portions of authorizations can be changed for any of the following reasons: • To enter an earlier end date because the client died or moved from the facility. • Change in the client pay amount. • Incorrect type of care. • Incorrect authorization dates.

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Official source

BAM 430 3 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

• The authorization end date is within the previous or next 12 months. If appropriate it should coincide with the redetermination date. AUTHORIZATION CHANGES

Incorrect Services Codes In Bridges, if an incorrect service code has been entered or if pay- ment has been made for any portion of the authorization period, enter the correct information and rerun Eligibility. See Underpay- ments to Providers and Overpayments to Providers in this item for correction procedures. Change Client Pay Bridges will determine the client pay amount when the clients income information is entered or changed. The CSCD entered will determine the effective date of the change. A client pay amount can be changed monthly but is always effective for a calendar month. Increases in client pay amount require timely notice and decreases require adequate notice. Authorizations may never be changed ret- roactively to increase a client pay amount. Retroactive Adjustments Authorizations can be changed retroactively if incorrect and the change is for a period within the past 12 months. Submit requests for changes older than 12 months through the exception process. Unpaid Portions Unpaid portions of authorizations can be changed for any of the following reasons: • To enter an earlier end date because the client died or moved from the facility. • Change in the client pay amount. • Incorrect type of care. • Incorrect authorization dates.