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December 2016 Texas Medicaid Provider Procedures Manual

Section 5: Fee‑for‑Service Prior Authorizations : 5.1 General Information About Prior Authorization : 5.1.6 Prior Authorizations for Personal Care Services (PCS) : Authorizations for Multiple PCS Clients Within the Same Household
DSHS case managers synchronize PCS authorizations within households that have multiple clients who are receiving PCS.
Synchronization of authorizations within households are made as PCS reassessments come due. When clients are due for reassessment, the DSHS case manager assess all eligible clients in the home and submit authorizations for all eligible clients in the household for the same 52-week authorization period. Some authorizations within a household may be shortened or closed and then reinstated to be in alignment with other clients in the same household. DSHS case managers communicate with the provider about the actions that are being taken using the existing Communication Tool.

Texas Medicaid & Healthcare Partnership
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