2-005.04A Authorization Standards

473 NAC 2-005.04A

To authorize any service, whether staff-provided or purchased, the worker shall -

1. Determine that the client has been found eligible on Form DSS-3A (see 473 NAC 5-015.09 in regard to Adult Protective Services). In no case will the beginning service authorization date be prior to the beginning eligibility date shown on the application;

2. Determine that the client's need relates to one of the defined program goals and can be met within the service definition;

3. Determine that the provider is an approved vendor;

4. Identify the service on Form DSS-4;

5. Describe and authorize purchased service on Form DSS-4A before service is provided;

6. Set an authorization period which is within the eligibility period;

7. Refer to the code, maximum rate, and unit authorization policies set for each service and on each provider agreement; and

8. Explain that any authorization is subject to review to ensure that the service is delivered as authorized.