Prospective Reviews - Services are reviewed before authorization of the Individual Program Plan to determine the appropriate level and scope. These reviews may be conducted face-to-face.
Concurrent Reviews – Services are reviewed when the consumer is receiving services.
Retrospective Reviews – Services are reviewed after delivery or discontinuation of services, or after decisions have been made for authorization. These reviews ensure that services billed according to the tiered rate were delivered specified by the rate and if services were provided as recommended by the Individualized Program Plan and interdisciplinary team.