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who have been placed or are ready for placement. FL-2 prior approval may be obtained by calling EDS PA Unit Monday through Friday at 800-688-6696 or 1-919- 851-8888. MR-2 prior approval may be obtained by faxing the request to the Murdoch Center at 1- 919-575-1083 or by calling the Murdoch Center at 1- 919- 575-1070.
b. Only individuals knowledgeable of medical terminology may call for telephone approval. These individuals may include: (1) Physicians, (2) Registered nurses, (3) Licensed practical nurses, (4) Nursing home administrators who are RNs, (5) Social Workers, or (6) Case Managers.
c. The attending physician or their designee will send the completed FL- 2 to the EDS PA Unit. The MR-2 is sent to the Murdoch Center. The form must be received by EDS/Murdoch Center within 10 workdays after telephone or fax approval. Telephone/fax prior approval becomes invalid after 10 workdays.
2. Retroactive Prior Approval
a. Retroactive prior approval may be granted by telephone without additional medical information for up to 30 days immediately preceding the date the FL- 2/MR-2 was telephone approved or reviewed.
b. The retroactive prior approval received by phone must be documented on the FL-2/MR-2, and a copy of the FL-2/MR-2 showing the retroactive prior approval should be provided to the IMC. The IMC should revise the budgeting of the case, if needed.
c. Medical records must be submitted for review if the days needing approval exceed the 30 day limitation.
d. Retroactive prior approval will not be approved for time periods exceeding 90 days from the date Medicaid eligibility was established.
3. After the initial FL-2/MR-2 is approved, any further prior approval requests are the responsibility of the facility.
E. Prior Approval Responsibilities 1. Responsibilities of the local agency
a. The day after receiving FL-2/MR-2, distribute to the appropriate caseworker the stamped FL-2 (including additional information) Docusign Envelope ID: 950E9248-29CC-8930-81BC-BCEC667EB493