We are having issues with all our MA payers when we have a case worker giving auth- so only those that require authorization for services. The state says they are so backed up and nothing they can do. So patients are getting discharged or visits are being put on hold because we cannot get payment without auth nor can they guarantee they will get it and when. We have 2 patients we discharged for no auth and are still trying to recoup the last 2 months we provided services without auth. It's unfortunate for our patients.

Jen Baker, OTR, PTA, COS-C

Administrator, Home and Community Based Services

Good Samaritan Society Home Care

4080 W. Broadway Ave Ste 132 | Robbinsdale, MN 55442 | www.good-sam.com

jenifer.baker@good-sam.com | office: (763) 546-9020 | cell: (605) 799-6236

Need a meeting? Click HERE: Book time with Baker,Jen: Administrator Meeting

“Dedicated to sharing God’s love through the work of health, healing and comfort”

From: comprehensivecompliance@list.mnhomecare.org <comprehensivecompliance@list.mnhomecare.org> on behalf of Brianna Lindell <blindell@mnhomecare.org>
Sent: Thursday, October 10, 2024 8:00 AM
To: comprehensivecompliance@list.mnhomecare.org <comprehensivecompliance@list.mnhomecare.org>
Subject: [EXTERNAL] Skilled nursing auth issues

Hi,

Is anyone having issues getting nursing authorization for AC waiver?

For example, we have a member agency who went through KEPRO to get authorization. KEPRO is not letting them get the authorization, stating they need to go to the county worker, but the county worker is directing them to a “support planner”.

Anyone else experiencing this?

Brianna Lindell

Regulatory Affairs & Advocacy Manager

Minnesota Home Care Association

1265 Grey Fox Road, Suite 2 | Arden Hills, MN 55112-6929

Direct: 651.240.3380 | Main: 651.635.0607

www.mnhomecare.org | blindell@mnhomecare.org

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