| (a) The department may establish policies and procedures
that providers must follow in order to obtain prior authorization
for services.
(b) Following intake completion, the initial prior
authorization request must be supported by required documentation
and submitted to the department for review and disposition. If the
documentation supports eligibility, a comprehensive visit and follow-up
visit(s) will be prior-authorized. The number of follow-up visit(s)
that is prior-authorized will be based on the client's level of need,
level of medical involvement, and complicating psychosocial factors
documented on the request.
(c) Any additional requests for comprehensive or follow-up
visit(s) must be prior-authorized. Required documentation must be
submitted to the department for review and disposition before any
additional services may be prior-authorized.
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