are you doing homemaking or some other service?
From: billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Jennifer Larsen
Sent: Thursday, October 17, 2019 1:46 PM
To: billers@list.mnhomecare.org
Subject: RE: MSHO Patients who are also on a waiver
Thanks Darlene, we were aware of no auth for RN and HHA but they are trying to say since she is also on an elderly waiver that we need auth from the county for her home care services.
Be Compassionate. Be Accountable. Be Respectful. Be Excellent!
Jennifer Larsen
Claims Specialist
Guardian Angels Elim Home Care and Hospice
403 Main Street, Elk River, MN 55330
Main 763-241-0654
Direct 763-452-4101
Email
jlarsen@gaehc.org
From: billers@list.mnhomecare.org <billers@list.mnhomecare.org>
On Behalf Of Tuma, Darlene
Sent: Thursday, October 17, 2019 1:38 PM
To: billers@list.mnhomecare.org
Subject: RE: MSHO Patients who are also on a waiver
Is someone is on CADI, the county case manager needs to submit the auth request for services. UCARE MSHO (people over age 65) does not require authorizations for RN/Aide this year. May change for next year.
Darlene
From:
billers@list.mnhomecare.org [mailto:billers@list.mnhomecare.org]
On Behalf Of Jennifer Larsen
Sent: Thursday, October 17, 2019 1:05 PM
To: billers@list.mnhomecare.org
Subject: MSHO Patients who are also on a waiver
Hi all, I have not worked with waivers much since all services we offer are covered by Medicare, a health plan offering an Advantage, MSHO, PPO type plans and Medicaid. We have recently run into hiccups with some of our patients specifically
on a UCare MSHO and that also are on a waiver, CADI and Elderly. We do not need to bill in MN-its for any of the services but yet UCare is denying claims stating auth is required through the County Worker, but that auth would be for the waiver services we
would bill through MN-its, in which we do not need. And the County workers don’t call us back anyways. Has anyone run into this and if so how were you able to finally get it clear to UCare that this doesn’t need to be authed through the County?
Also, is there any online training type sessions that you know of that offer Waiver training?
Thank you in advance for any advice.
Jen
Be Compassionate. Be Accountable. Be Respectful. Be Excellent!
Jennifer Larsen
Claims Specialist
Guardian Angels Elim Home Care and Hospice
403 Main Street, Elk River, MN 55330
Main 763-241-0654
Direct 763-452-4101
Email
jlarsen@gaehc.org
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