Prior Approval Items- Bed Reservation/Nursing Home

The Prior Approval Items tab for Bed Reservation/Nursing Home requests allows you to input a service line that  identifies the service date ranges. 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 number and the subsequent claim line number does not have to match.

• Requested Period of Service: The From and To dates within which the requested service is to be performed.

• More Details: This field navigates you to the More Details view of the line.

• Remove: This field removes the line from the request.

More Details

The More Details view of a line provides a mechanism for you to add more detailed information about a requested line. The section contains three groups: Line, Attachments, and Comments.

• Line and Requested Period of Service: These fields display the information that was entered on the previous page. The data may not be modified from this tab.

Attachments

This group allows you to apply attachments to the line. The Enter More Attachments link allows for the entry of 5 additional attachment fields.

• 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.

Comments

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.