Service Authorization Details

This screen displays the authorization for placements or services that are documented on the case record and on this screen, the service authorization details can be maintained and approved. The resource and standardized, contracted or user defined cost information is pre-populated into the service authorization. The basic cost data for services that do not have a standardized or contracted cost and for supplements (per diem costs) can be entered on this screen.

The Cost Type field on this screen defaults to "Contracted" in the following situations:

The Basic Cost field and the Calculate button are enabled when "User Defined" is selected from the Cost Type drop-down.

The Add Per Diem Cost button is enabled for certain service descriptions to record add-on amounts to the cost.

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Fields on this screen

Service Description	This field is enabled for an "initial" placement service authorization record. It defaults to the description selected on the placement setting record. Any updates entered in this field also update the placement setting record and reset the cost type and contract cost ID.
Status	If the service requires approval, this field displays the current status of the authorization and cannot be edited. If this is a pre-approved service, select the current status of the authorization. The system defaults to "Pending" status. A record may be edited until it is in "Approved" status.
Authority Number	Select the authority number for the service authorization.
Responsible Fiscal Region	Select the responsible fiscal region for the service authorization.
Responsible Fiscal County	Select the responsible fiscal county for the service authorization.
Cost Type	Select the cost type if the system-entered value does not apply. If you select User Defined, the Basic Cost field is enabled. You must cost amount in that field.
Vendor Number	If you selected User Defined in the Cost Type field, enter the vendor number. If you selected Contracted in the Cost Type field, the system enters the vendor number from the Contract Details screen on the provider's contract record. If you selected Standardized in the Cost Type field, the system enters the vendor number from the Payment Information Details screen on the provider's service credential record.
Begin Date	The system enters the begin date from the placement setting or case service record for the initial service authorization. For amended service authorization, enter the begin date of the service authorization. This date must be later than the begin date on the previous service authorization record.
Non-Reimbursable Placement Reason	If the organization is not being reimbursed under Title IV-E for the child's placement costs, select the reason.
Basic Cost	If the cost type listed above is "User Defined," enter the cost of the service. This field is required for a user-defined cost.
Comments	Enter additional information about the cost.

	Note
	A per diem cost may not be deleted after it has been saved.