Prior Approval Items- Prescription Drugs/OTC
Prior Approval Items- Prescription Drugs/OTCThe Prior Approval Items tab for Prescribed Drugs/OTCs requests allows you to input service lines identifying the services that are being requested for the patient. The main body of the tab contains an arrangement of fields with each row representing a requested service line. The following fields are displayed:
Line: The line number of the request. You may not change this field. Note that the request line numbers and the subsequent claim line numbers do not have to match.
Service Date: The estimated or proposed date that the requested service is to be performed. Must be greater than or equal to the current date.
NDC & Modifier: The National Drug Code and associated modifier.
Req'd Quantity: The requested number of units.
Req'd Refills: The requested number of refills. Zero is a valid number for refills.
Req'd Amount: The requested dollar amounts.
More Details: This field navigates you to the More Details view of the line.
Remove: This field removes the line from the request.
The More Details view of a line provides a mechanism for you to add more detailed information about a requested line. The Enter More Attachments link allows for the entry of 5 additional attachment fields. The component displays the following fields:
Line, Service Date, NDC & Modifier, Req'd quantity, Req'd Refills, and Req'd Amount: These fields display the information that was entered on the previous page. The data may not be modified from this tab.
Copy Attachments from Line: Allows you to apply attachments used in another line to the current line.
Type: This field may be populated by using the associated pop-up and identifies the type of attachment.
Transmission Code: This field may be populated by using the associated pop-up and identifies the method by which the attachment will be transmitted or sent to eMedNY.
Control Number: This field identifies the attachment's control number in your records. It is an internal number that is for the provider's office use only and does not correspond to the subsequent PA number issued by NYS Medicaid.
Description: This field describes the attachment.
The Comments field allows you to enter free form text that clarifies the request. You may copy comments into the current line from another line in the current PA.
After you have completed the additional items for the current line, choose Close to save the information and return to the previous page. If you wish to abandon the additional items for the current line, choose Clear and you will return to the previous page.