Is there a requirement for staffing agencies, under either CAP/C or PDN, to let the Case Manager or Consultant know when the recipient’s services need to be changed?
Yes. In CAP/C, this is stated on the Service Authorization. In PDN, the agency must send a patient update every 60 days in order for the recipient to continue receiving PDN services. The update should indicate the need for change, if any. If the provider agency, physician, or recipient/guardian initiates a reduction or termination of service, Medicaid is not required to send a written notice with appeal rights.
Related Questions
- Is there a time frame requirement for reporting to the family and/or advocates, i.e. case manager or service coordination?
- Does Entech Medical Staffing collaborate with my Physician and Case Manager to assure continuity of care?
- How does a CASA volunteer differ from a Division of Family & Children case manager?
