SA Cancel Response Details

The SA Cancel Response Details page contains the information that was received from NY Medicaid and is basically a confirmation that the Cancellation Request was received.

Client Information - Includes the patient's ID, name, date of birth The birth date of the individual, e.g. 04/15/1995. , and gender to assist in ensuring the cancellation of the authorization was requested for the proper individual. The date of birth The birth date of the individual, e.g. 04/15/1995. or Gender will not be displayed if they are not of file.

SA Cancel Response - NY Medicaid's response to the request for the Cancellation of a Service Authorization.

UT/PC Units Information - Displays the requested quantities for the SA which has been cancelled. In the case of an Rx/Lab Service Authorization, the Generic Over the Counter, Brand, and Supplies quantities will be combined into a single "Pharmacy Units" field.

Medicaid Coverage Information - The original requested Date of Service will be displayed.

Once you have reviewed the information displayed on the page, you have two options. You may click the Close button which will set the status of the response to "Viewed" or you may click Worked to mark the response as such, indicating that follow-up has been completed. Both buttons will close the details page and return you to the SA Activity Worklist.