I am starting to think that too.

 

 

 

I honestly don’t think even Blue Cross knows…..

 

 

Does anyone here know what the SNV and/or  HHA authorization threshold is for Blue Plus/MA, without a waiver?

 

I have searched the web site and also called the help desk, and was told no authorization is required for SNV or HHA.  For some reason this just feels wrong and wondering if anyone has any insight on this question.

 

 

 

All I really know is that Blue Plus is going to be managed by amerisomething. So auths are ending in March so apparently there will be a change. We are just a lost here.

 

 

Hello,

 

I am wondering how and if you are getting your authorizations when a patient has Blue Plus MSHO with Elderly Waiver.  I found my Homemaker authorizations in Availity just fine.  However the authorizations I am expecting for Skilled Nurse visits and Home Health Aide visits are not in there.  The strange thing is, I am finding an authorization for Home Care for the right dates and mostly the right units but not for the correct CPT code.

 

This is all so confusing and the County Care Coordinators that I work with are just as confused.  There seems to be no clear information on this and part of me is wondering if I am supposed to request my own authorization for the SN and HHA rather than the County.

 

I would like to know if anyone else knows something more or if you have had success getting your SN and HHA authorizations for patients on Blue Plus MSHO with an Elderly Waiver. 

 

Thank you,

Marnie

Lakewood Health System Home Care

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