Revision 19-7; Effective June 3, 2019

 

The STAR+PLUS HCBS Program and Nursing Facility Overlap Report shows overlapping STAR+PLUS Home and Community Based Services (HCBS) program and nursing facility (NF) registrations in the Service Authorization System Online (SASO).

 

Report Fields

PCN – The member's nine-digit Medicaid number.

Name – The member's last name, first name and middle initial (when provided).

TP – The member's two-digit Medicaid Type Program.

Plan – The two-digit managed care organization (MCO) plan code.

 

Program Support Unit (PSU) Entry Fields

Date Corrected – The date PSU staff correct the overlap between Service Group (SG) 19, Service Code (SC) 12/13, and SG 1, SC 1/3. PSU staff must not use SC 3A overlapping with SG 19. Only correct overlaps occurring during STAR+PLUS managed care enrollment.

Comments – PSU staff may enter appropriate comments after researching the overlap.

The STAR+PLUS HCBS Program and Nursing Facility Overlap Report is a monthly report. PSU staff are required to research, resolve and respond to the requestor within 14 days of receipt.

Note: SASO files used by Program Enrollment Support (PES) staff to produce this report are a snapshot in time and may not reflect registrations at the point of receipt.