24.12.2 Process for Exceptions to Contracts

The following process applies to all contracts except for hospital contracts. For more information about exceptions to hospital contracts.

Counselor

  1. documents a contract-exception request in an email or memo that describes the consumer's need for a specific contracted good or service. (The request explains that a non-contracted vendor is needed to best serve the consumer in achieving his or her plan objective.); and
  2. sends the contract exception request email or memo to the manager for review and approval.

Manager

  1. reviews and concurs with the request or denies the contract exception request; and
  2. sends the requested documentation to the CRS program manager for review and concurrence or denial.

CRS Program Manager

  1. reviews and concurs with or denies the request; and
  2. sends the request documentation to the appropriate executive staff for review and approval.

Executive Staff

  1. reviews and approves or denies the request;
  2. make final approval; and
  3. sends the approved exception to the CRS program manager.

CRS Program Manager

  1. returns the approval through the chain of command to the counselor.

If at any time the request for a contract exception is denied, the document is returned through the chain of command to the caseload carrying staff member.

Hospitals without CRS Program Contracts

If a consumer needs a medical service at a hospital that does not have a CRS program contract, the assigned medical service coordinator must contact the CRS central office program manager to negotiate a payment rate for the medical service. A DARS3423, Exception to Contracted Hospital Purchase must be completed and submitted through the CRS program manager.