Nursing Facilities-Inappropriate Ventilator Service Authorizations

Information posted October 27, 2009: The DADS Service Authorization System is creating Nursing Facility ventilator service authorizations (service code 4) independently of whether the resident qualifies for the service or not. When accessing a Medicaid Eligibility and SAVERR Authorization Verification (MESAV), providers may see a service code 4 ventilator services authorization. Providers should ignore these service authorizations unless the resident’s MDS meets the requirements for the ventilator. DADS will make a correction to stop generating these erroneous ventilator service authorizations in the near future. Incorrect ventilator service authorizations will be removed once a correction has been deployed.

Please contact the Provider Claims Services Help Desk at 512/438-2200, Option 1, with questions about this notice.