Business Process Details - Authorize Service
Guidance for the Authorize Treatment Plan business process that encompasses both a prior
authorization and post-approved treatment plan. The State Medicaid Agency (SMA)
uses the Authorize Treatment Plans primarily in the care coordination setting where
the care management team assesses the member’s needs, decides on a course of
treatment, and completes the treatment plan.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2012
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