Updated & Consolidated Procedures for

AS400 Authorizations Date last updated: July 15, 2015

If you have an addition or correction to submit to these guidelines, please email peters_lk@co.brown.wi.us. Please note that missing screen shots are being worked on. CTRL+F will enable you to easily search this document with a key term or phrase

Contents Contents ............................................................................................................................................................................ 1

AS400 Basics ...................................................................................................................................................................... 3

Sign on Procedure ......................................................................................................................................................... 4

Accessing the Authorization System on the AS400 ...................................................................................................... 5

Authorization System Main Menu ................................................................................................................................ 7

Active Authorizations - Authorization Review ........................................................................................................... 8

Active Authorization Client List Screen ................................................................................................................... 9

Search for an existing client on a case managers work load: .............................................................................. 9

Add a New Client to a Case Manager's Active Client List ....................................................................................... 10

Client Master Index File .................................................................................................................................................. 10

Client Search by Last Name ......................................................................................................................................... 11

Client search by Birthdate ....................................................................................................................................... 12

Client Search by Social Security Number ................................................................................................................. 12

Create or Update Client Information Screen .............................................................................................................. 12

HSRS Information Screen .............................................................................................................................................. 13

Long Term Support Module HSRS Screen ................................................................................................................ 13

AODA Module HSRS Screen ........................................................................................................................................ 14

CTP Module HSRS Screen ............................................................................................................................................ 14

Create Authorizations ..................................................................................................................................................... 16

Create a Service Authorization – LTS .......................................................................................................................... 16

Create a Service Authorization - AODA .............................................................................................................. 18

Create a Service Authorization- CTP ...................................................................................................................... 22

Create a Substitute Care Authorization - all modules ............................................................................................ 24

Change/Delete/Cancel Authorizations ........................................................................................................................... 28

Review Authorizations Awaiting Activity Que ............................................................................................................. 28

How to Close an Auth – CLTS? .................................................................................................................................... 28

How to Delete an Auth ................................................................................................................................................ 28

How to Cancel an Auth – CLTS? .................................................................................................................................. 29

How to Modify an Auth – CLTS ................................................................................................................................... 29

Modify a Yearly Auth ............................................................................................................................................... 29

Modify a Member Auth ........................................................................................................................................... 29

Change from Member auth to Yearly auth or vice versa ........................................................................................ 29

Funding Code Changes - CLTS ..................................................................................................................................... 29

Search the Contract Database for a Provider ................................................................................................................. 31

Search by SPC code/Facility/Provider ..................................................................................................................... 31

Searching by SPC code: ............................................................................................................................................... 31

Provider Search by Facility: ..................................................................................................................................... 32

Check Authorization Status ......................................................................................................................................... 33

AS400 Function Keys ....................................................................................................................................................... 35

Those Wonderful “F” Keys Mnemonic ......................................................................................................................... 36

LTS Codes/Funding Source ............................................................................................................................................ 37

Modules .......................................................................................................................................................................... 37

Child Support – DNA Testing Authorizations .................................................................................................................. 38

Post-Reunification Authorizations .................................................................................................................................. 38

Adult Protective Services Quick Reference ..................................................................................................................... 39

If you are opening a new case to HSD who is not on the AS400 ........................................................................... 39

If you are doing an auth for someone one the system for 301/603 ..................................................................... 39

Closing the auth ......................................................................................................................................................... 39

Juvenile Justice Quick Reference .................................................................................................................................. 40

Child Protective Services Quick Reference .................................................................................................................. 41

* * * CPS CHEAT SHEET * * * ....................................................................................................................................... 42

Entering Authorizations into the Vendor Payment System ....................................................................................... 43

AS400 Basics

The Authorization System is an AS400 application. To access the system a user must have an AS400 user ID and password. If an individual is unable to access this system please contact your supervisor and they will arrange AS400 access for you.

As a security feature, you are required to change your password every 90 days. The system will prompt you as the expiration time for your password approaches.

Also, once a user is signed on the AS400, the system will automatically sign-off after 60 minutes passes without activity.

If a user does not sign on to an AS400 application within a six-month period, the user's AS400 sign on will be deleted. If this should happened the user will need to contact the help desk at 4030 and request a new sign on.

In AS400, the following conventions apply:

Dates - All date fields are entered in month, day, and year order. The year must be entered as a four-digit year (e.g. 2005).

Tab Key- will move you from one field to the next field.

Shift/Tab Key- this key combination will move you back one field.

Mouse Pointer- access any field by positioning your pointer on the first line of the field and left clicking on your mouse. You may then enter the appropriate value in the field or use F4 to display a drop down box.

Numbers- Numbers may be entered as whole numbers (e.g. 10) or as a decimal number (e.g. 10.25). Once a number has been entered the field exit key must be used to exit the field. The field exit key is the plus (+) key on the numeric keypad, which is located on the right of the keyboard.

Numeric Key Pad - May be used to enter numeric data into a field.

Function Keys - On the bottom of each screen you will see the function keys that may be used with that screen. Function keys allow you to navigate through the authorization system. Function keys are always preceded with the letter F.

Function Keys over F12- To access function keys over F12, hold down the shift key and press the F key that is 12 numbers less than the function key desired (e.g. F15 would be Shift + F3)

Retrieving Data from a Drop Down Box- To retrieve data from a drop down box you can place your cursor anywhere on the record line and press F9.

Sign on Procedure

The first screen displayed is the AS400 sign on screen:

1. Enter your User ID in the User Field and press the TAB key to move to the password field.

2. Enter your password and press ENTER.

The following screen will screen will be displayed:

Enter your identification code and press ENTER.

Accessing the Authorization System on the AS400

After successfully signing on to the AS400, the first screen displayed is the Systems Option Screen that lists all the AS400 applications that a user has access to. The menu will be different for each user. To access the Authorization System, locate and enter the option number for the Client Services, enter the number in the Option Number field and press ENTER.

The following menu appears:

Enter the number 7 in the Option Number Field and press ENTER

Authorization System Main Menu

The authorization menu consists of three options for users. What is displayed with each option is

dependent on a user's security level.

Option 1: Active Authorizations

Case Manager - Case Managers will see all active authorizations that are

assigned to them and have been routed to their supervisor for approval.

Supervisors - Supervisors will see all active authorizations for those case

managers that are assigned to their unit and have been routed to finance for

approval.

Financial Supervisors- Financial supervisors will see all active authorizations for the

modules that you have been assigned to providing you have been routed to them

from the unit supervisor.

Option 2: Authorizations Awaiting Activity

Case Manager - Case Managers will see all authorizations that are assigned to

them that are awaiting action on their part or waiting for supervisor/ financial

approval.

Supervisors - Supervisors will see all authorizations that have been routed to

them by case managers in their unit that are awaiting their approval or

authorizations that have been routed back to them by a financial supervisor for

further review.

Financial Supervisors - Financial supervisors will see all authorizations that have

been routed to them by supervisors that are awaiting final review and routing

into the vendor payment system.

Option 3: Authorizations Change Request

Not Available at this time.

Active Authorizations - Authorization Review

Choose Option 1 on the main menu - Active Authorizations.

When this option is shown the case manager/supervisor will see the following screen

automatically:

NEED SCREEN SHOT

Authorization Review Screen Function Keys:

F11 Master Index Client Master Index Search Screen

F12 – Previous Prior Screen user viewed

F15 – Continue Proceed with entering new authorizations

Case managers will see all active authorizations with a review date scheduled within the next 30

days. The authorizations will be listed alphabetically.

To locate a specific authorization, users may perform a search by client name. To

perform a search:

1. Place your cursor in the name option field 'and enter the client's last name and press

TAB 2. Enter the first letter of the client's first name and press ENTER .

3. The system will display the first record that matches the criteria entered.

4. Place your cursor anywhere on the name field of the correct record and press

ENTER. 5. The authorization requiring attention will be displayed. The case manager will

Have to close the authorization or review and update it. Once the desired

changes have been made you will need to route it to your supervisor for

approval.

Supervisors will see all active authorizations for those case managers assigned to them that are past due. They may review them using the name search function as described above.

Active Authorization Client List Screen

From the Authorizations Review screen press F15 (Shift F3) to access all open authorizations

assigned to a case manager and the Active Authorization Client List screen will appear. NEED SCREEN SHOT Active Authorization Client List for Screen Function Keys:

F6 Add Client Add Client to Case Manager’s List

F11 Client Master Client Master Index Search Screen

F12 Previous Prior Screen user viewed

F14 Closed Clients Closed cases assigned to case manager

Case Managers: This screen will display an alphabetically listing of all the clients with open

authorizations that are currently assigned to the case manager

Supervisors: This screen will display an alphabetical listing of all the clients with open

authorizations that are currently assigned to case managers within their unit.

Search for an existing client on a case managers work load: Case managers must perform a name search to see if the client is already open on your

caseload.

1. Position the cursor on the name field and enter the client's last name and press

TAB. 2. Enter the first letter of the clients first name and press ENTER

If the case manager has existing authorizations for a client their name will appear and you may

access a particular client's open authorization information by placing the cursor anywhere on the

client's name and pressing ENTER.

Add a New Client to a Case Manager's Active Client List

If the search does not find the client the case manager will have to add that client to your

open authorization client list by pressing F6 - ADD CLIENT.

The Add Client Information Screen will appear:

Client Information Screen Function Keys:

F4 Prompt Access Client Master Index

F12 Previous Prior screen viewed by user

Case Managers will need to search the client master file to see if

demographic/services information already exists for an individual.

Client Master Index File

The Client Master File is a client-based system. Individuals having contact with the

department are listed separately in the system with the exception of Economic Support. If the

only services received are Economic Support in nature the individual's demographic/service

information may not be found within the Client Master System.

To access the Client Master Search and Select Master Index Screen position your cursor on the

Last Name field and press F4.

The following screen will appear:

NEED SCREEN SHOT

There are several search methods available in an attempt to locate an individual's record

within the Client Master Index. The option(s) used depend on the information available to

you. The options include:

1. Last Name- when name spelling is known.

2. Last Name and First Initial -full last name and first initial

3. Birth date

4. Social Security Number Once the search criterion is entered, the system begins display with the first client record that

matches the criteria. The system allows you to page forward through all client records from

that point forward.

At the top of the Search and Select Master Index screen is a field labeled “Search by:” this

is where you enter the search criteria the system is to use to locate a client's record.

When a last name is entered, any spaces or punctuation must be omitted, with the exception

of hyphens for hyphenated names. For example:

O'Neal must be keyed Oneal

Vander Avond must be keyed Vanderavond Smith Jones

must be keyed Smith-Jones

Failure to do so may result in not locating the correct client record within the Client Master Index.

Client Search by Last Name Enter the last name in the Name field as shown and press ENTER.

The system returns the display with the first record that matches the name criteria as entered.

You may then page forward if the desired individual does not appear on the first screen. The

page down key will allow you to scroll forward.

NEED SCREEN SHOT

Client search by Birthdate This allows you to search for a client based on birth date.

All date fields must be entered in month, day and year order. The year must be entered as

a four-digit year. Enter the birth date and press ENTER.

The resulting display starts with all clients with the specified birth date listed in client number

order and continues displaying all clients for each subsequent date in client number order. NEED SCREEN SHOT

Client Search by Social Security Number Enter the social security without hyphens as follows:

The resulting display starts with the client with a matching social security number and continues

displaying clients in social security order. NEED SCREEN SHOT

When trying to find a client in the Client Master Index all three methods should be used in an

attempt to locate the correct record.

Once the correct record is located place your cursor anywhere on the line for that record and

press the ENTER key to retrieve the record. The following screen will be displayed: NEED SCREEN SHOT

If you have located the correct record within the Client Master Index press F9 to copy the client

demographic information to the authorization system. The following screen will appear:

Create or Update Client Information Screen

NEED SCREEN SHOT

Case managers should review the client's information and update all incorrect information.

An asterisk (*) after a field means a table exists with the allowable values. To view the table

information, place your cursor in the appropriate field and press F4 key. The table values

displayed when this option is used may be system wide (demographic) or module specific

(AODA, CMI, LTS or CORE).

The following fields are required:

Last Name

First Name

Address 1

City, State, Zip

Marital Sts

Sex

Ethnicity

Hispanic/Latino (Yes/No value)

Target Group

Client Characteristics (One required, may enter up to three)

If a user fails to enter an appropriate value in one of these fields, an error message will

appear and the field with the missing data will be highlighted. Move to the appropriate field

and enter the necessary information. Once all the information is entered correctly press the

ENTER key. A temporary record is created. A data entry person will review this information

and update the Client Master Index File. NEED SCREEN SHOT

If you are unable to locate the client in the Client Master Index File, press F12- Previous to

return to the previous screen. The case manager should enter the appropriate information

regarding the client and press ENTER when done. This will create a temporary file that will be

reviewed by a data entry clerk. The clerk will create a permanent in the Client Master File

Index.

HSRS Information Screen

Case managers must review and update the HSRS information for each client on your

caseload. Once the demographic information has been updated, the following module specific

screen will appear:

Long Term Support Module HSRS Screen NEED SCREEN SHOT

When a field name is followed by an asterisk (*) pressing F4 will display the appropriate table with the HSRS codes for the LTS/CORE module. Some fields are required:

Living Arrangement

Financial Eligibility Type

Program Eligibility Date or Start Date

Special Project Status

Indicator for Waiver Mandate Once all the information has been entered correctly press ENTER. If a required field has been left blank it will be highlighted. Move your cursor to the appropriate field and fill in the required information. Press ENTER and continue. NEED SCREEN SHOT

Press ENTER to update the HSRS information in the client record and move on to the next step in the process – the authorization screen.

AODA Module HSRS Screen NEED SCREEN SHOT

When a field name is followed by an asterisk (*) pressing F4 will display the appropriate table with the HSRS codes for the AODA module. Some fields are required:

Start Date

Educ time of Admission

Pregnant/time admission

Co-dep/Collateral

Family Relationship

Employment Status

Referral Source If a user fails to enter an appropriate value in one of these fields, an error message will appear and the field with the missing data will be highlighted. Move to the appropriate field and enter the necessary information. NEED SCREEN SHOT

Press ENTER to update the HSRS information in the client record and move on to the next step in the process – the authorizations screen.

CTP Module HSRS Screen NEED SCREEN SHOT

When a field name is followed by an asterisk (*) pressing F4 will display the appropriate table with the HSRS codes for the Mental Health module. Some fields are required:

Presenting Problem

No. living with client

No. of minor children

BRC Target Pop

If a user fails to enter an appropriate value in one of these fields, an error message will appear and the field with the missing data will be highlighted. Move to the appropriate field and enter the necessary information. NEED SCREEN SHOT

Press ENTER to update the HSRS information in the client record and move on to the next step in the process – the authorizations screen.

Create Authorizations Always search to make sure your client is in the AS400. Searching by Social Security Number is most reliable - searching by name is sensitive to spacing, punctuation and spelling. If your client is not found, email support staff with the client info to enter it. Use the TAB key to navigate between fields

NEED SCREEN SHOT

Authorizations Screen Function Keys

F8 Add Service Auth Add a service authorization

F10 Add SC Auth Add a substitute care authorization

F12 Previous Prior screen viewed by user

F14 Close Auths Displays closed authorizations for this client

The client name, social security number and birthdate are displayed at the top of the screen. This is the client that the case manager will be creating an authorization for. If other authorizations exist for this client they will be displayed on the screen in the order that they were entered (oldest first). To access any of the open authorizations on the client, place the cursor anywhere on the field of the desired line of the authorization and press ENTER.

Create a Service Authorization – LTS Press F8 to Add Service Auth – the following screen will be displayed: NEED SCREEN SHOT

Service Information Screen Function Keys:

F4 Prompt Access Contract Database

F7 Route/Approve Send an authorization to supervisor for approval

F15 Stats/Location Check on the status of the authorization

F23 Delete Delete the authorizations (Shift/F11)

When a field name is followed by an asterisk (*) pressing F4 will display appropriate

values that may be entered into that field.

BACK OUT Remember to F12 or F3 until you “back out” and no longer have a client’s name on your screen when done creating an auth. If you don’t, nobody else can bring up that client – including clerks wanting to pay the bill

Provider and Facility Field

The Provider* field and Facility* field values will be

pulled from the contract database. This database is

maintained by the Contract Department. If you any

questions about a vendor or the absence of a

vendor in the table contact the Contract Department

LTS Code The LTS code is obtained from a drop down table

of values specific to the module a case manager

has been assigned to (determined by the Unit the

case manager is in).

ISP Updated (Y/N) ISP Updated (Y/N) refers to the clients Individual Service

Plan. Enter Y if the plan is current and N if the plan needs

to be updated. The original ISP should be placed in the

client's record/folder.

SPC/Sub The SPC and Sub code is obtained from a drop down menu that is modular (LTS/CORE, AODA, CTP) specific

SPC End Reason The SPC End Reason code is obtained from a drop

down menu that is modular (LTS/CORE, ADOA,

CTP) specific. The end reason would not be

entered at time a case manager enters a new

authorization

Start Date Enter the date the authorization will begin

Review Date Enter the date the authorization needs to be reviewed.

End Date Only enter a date in this field if the service is a one time.

Provider Rate

This rate will be pulled from the contract database.

The case manager will need to fill in a total when

doing an authorization for a one time service or the

contract says see rate schedule; look up the rate

on the rate sheet in this instance

Units Needs to be filled in by case manager. This field

refers to number of sessions, trips, visits you are

issuing this authorization for

Units of Measure*

Automatically filled in from the contract database unless the vendor is listed on the rate schedule.

Frequency*

Pressing F4 will display the values available to

the case manager

Authorized Total $ This is a calculated field. It will be filled in

automatically once the case manager has

entered information in the required fields

Client Share $

Enter the amount a client will be paying toward

this service.

Case Manager Comments

This is a text field. The case manager may enter

information that is helpful for your supervisor

and/or the clerks

Example:

The case manager is going to authorization 7/hrs a day for 3/days per week of prevocational services.

The case manager searches the contract database (refer to contract database search), locates the appropriate provider and retrieves the information by pressing F9. NEED SCREEN SHOT

If the provider rate $ field is empty, refer to rate sheet to get the correct rate. Fill in the provider

rate, the number of units, frequency, client share and add any case manager comments you feel are appropriate. The notes will be routed along with the authorization.

Once the information is complete press ENTER NEED SCREEN SHOT

The screen will be updated with the authorized total: NEED SCREEN SHOT A message will appear on the bottom of the screen that says the record has been updated

successfully.

If a change needs to be made at this time, press F12 to return to the previous screen. At this

time you may reselect the desired authorization by placing your cursor anywhere on the line

for the authorization and pressing ENTER. This will put you in the update mode and you can

make any desired changes.

Please note: The Status has changed to N, which means New- Not submitted. The case

manager may now route the authorization to your supervisor for approval or exit and come

back to the authorization at a later time.

To route the authorization to a supervisor press F7 ­ Route/Approve. A message will

appear on the bottom of the screen telling you that the authorization has been routed to

your supervisor. NEED SCREEN SHOT

Create a Service Authorization - AODA

Press F8 - the following screen will be displayed: NEED SCREEN SHOT

Service Information Screen Function Keys:

F4 Prompt Access Contract Database

F7 Route/Approve Send authorization to supervisor for approval

F15 Stats/Location Check on the status of the authorization

F23 Delete Delete the authorization (Shift I F11)

When a field name is followed by an asterisk (*) pressing F4 will display appropriate values that may be entered into that field.

Provider and Facility Field

The Provider* field and Facility* field values will be pulled from the contract database. This database is maintained by the Contract Department. If you any questions about a vendor or the absence of a vendor in the table contact the Contract Department

LTS Code The LTS code is obtained from a drop down table of values specific to the module a case manager has been assigned lei (determined by the Unit the case manager is in).

ISP Updated (Y/N)

ISP Updated (Y/N) refers to the clients Individual Service Plan. Enter Y if the plan is current and N if the plan needs to be updated. The original ISP should be placed in the client's record/folder

SPC/Sub The SPC and Sub code is obtained from a drop

down menu that is modular (LTS/CORE, AODA,

CTP) specific. SPC End Reason The SPC End Reason code is obtained from a drop

down menu that is modular (LTS/CORE, ADOA, CTP) specific. The end reason would not be entered at time a case manager enters a new authorization

Start Date Enter the date the authorization will begin Review Date Enter the date the authorization needs to be reviewed End Date Only enter a date in this field if the service is a one

time AODA Closing Status A* This field should not be filled in at the time the service

is authorized. When the case mangers close the service they will fill in this field

Closing Status F* This field should not be filled in at the time the service is authorized. When the case mangers close the service they will fill in this field.

Closing Status E* This field should not be filled in at the time the service is authorized. When the case mangers close the service they will fill in this field

Provider Rate This rate will be pulled from the contract database. The case manager will need to fill in a total when doing an authorization for a one time service or the contract says see rate schedule; look up the rate on the rate sheet in this instance

Units Needs to be filled in by case manager. This field refers

/

to number of sessions, trips, visits you are issuing this authorization for

Units of Measure* Automatically filled in from the contract database unless the vendor is listed on the rate schedule.

Frequency* Pressing F4 will display the values available to the case manager

Authorized Total $ This is a calculated field. It will be filled in automatically once the case manager has entered information in the required fields

Client Share $ Enter the amount a client will be paying toward this service

Case Manager Comments This is a text field. The case manager may enter information that is helpful for your supervisor and/or the clerks

Example:

The case manager is going to authorize transportation through A 1 Medi Mobile. The start

date id 1/1/2005 and the end date will be 6/30/2005. The case manager authorizes trips a

week for the six months.

The case manager searches the contract database (refer to contract database search),

locates the appropriate provider and retrieves the information pertaining to the provider by

pressing F9

NEED SCREEN SHOT

If the provider rate $ field is empty the case manager will need to refer to rate sheet to get the

correct rate. Fill in the provider rate, the number of units, frequency, client share and add any

case manager comments you feel are appropriate. The notes will be routed along with the

authorization.

If you do not fill in all the required fields an error message will appear.

NEED SCREEN SHOT

Once the information is entered press ENTER. NEED SCREEN SHOT

A message will appear on the bottom of the screen that says the record has been updated

successfully.

If a change needs to be made at this time, press F12 to return to the previous screen. At

this time you may reselect the desired authorization by placing your cursor anywhere on

the line for the authorization and pressing ENTER. This will put you in the update mode

and you can make any desired changes.

Please note: The Status has changed to N, which means New- Not submitted. The case

manager may now route the authorization to your supervisor for approval or exit and come

back to the authorization at a later time.

To route the authorization to a supervisor press F7 ­ Route/Approve. A message will

appear on the bottom of the screen telling you that the authorization has been routed to

your supervisor.

NEED SCREEN SHOT

Create a Service Authorization- CTP

Press F8 - the following screen will be displayed:

NEED SCREEN SHOT

F4 Prompt Access Contract database

F7 Route/Approve Send authorization to supervisor for approval

F15 Stats/Location Check the status of an authorization

F23 Delete Delete the authorization (Shift / F11)

When a field name is followed by an * pressing F4 will display appropriate values that may

be entered into that field.

Provider and Facility Field The Provider* field and Facility* field values will be pulled from

the contract database. This database is maintained by the Contract Department. If you any questions about a vendor or the absence of a vendor in the table contact the Contract Department

LTS Code The LTS code is obtained from a drop down table of values specific to the module a case manager has been assigned to (determined by the Unit the case manager is in).

ISP Updated (Y/N) ISP Updated (Y/N) refers to the clients Individual Service Plan. Enter Y if the plan is current and N if the plan needs to be updated. The original ISP should be placed in the client's record/folder.

SPC/Sub The SPC and Sub code is obtained from a drop down menu that is modular (LTS/CORE, AODA, CTP) specific

SPC End Reason The SPC End Reason code is obtained from a drop down menu that is modular (LTS/CORE, ADOA, CTP) specific. The end reason would not be entered at time a case manager enters a new authorization

Start Date Enter the date the authorization will begin

Review Date Enter the date the authorization needs to be reviewed

End Date Only enter a date in this field if the service is a one time

Provider Rate This rate will be pulled from the contract database. The case manager will need to fill in a total when doing an authorization for a one time service or the contract says see rate schedule; look up the rate on the rate sheet in this instance

Units Needs to be filled in by case manager. This field refers to number of sessions, trips, visits you are issuing this authorization for

Units of Measure* Automatically filled in from the contract database unless the vendor is listed on the rate schedule

Frequency Pressing F4 will display the values available to the case

manager

Authorized Total$ This is a calculated field. It will be filled in automatically once the case manager has entered information in the required fields

Client Share $ Enter the amount a client will be paying toward this service

Case Manager Comments This is a text field. The case manager may enter information that is helpful for your supervisor and/or the clerks

Example:

The case manager is going to authorization transportation through A-1 Medi Mobile. The

start date will be 2/1/05 and the end date will be 6/30/05. The case manager authorizes 10

trips per month.

The case manager searches the contract database (refer to contract database search),

locates the appropriate provider and retrieves the information by pressing F9. NEED SCREEN SHOT If the provider rate $ field is empty the case manager will need to refer to rate sheet to get the

correct rate. Fill in the provider rate, the number of units, frequency, client share and add any

case manager comments you feel are appropriate. The notes will be routed along with the

authorization.

If you do not fill in all the required fields an error message will appear. NEED SCREEN SHOT

Once the information is entered press ENTER NEED SCREEN SHOT

A message will appear on the bottom of the screen that says the record has been updated

successfully.

If a change needs to be made at this time, press F12 to return to the previous screen. At this

time you may reselect the desired authorization by placing your cursor anywhere on the line

for the authorization and pressing ENTER. This will put them in the update mode and you

can make any desired changes.

Please note: The Status has changed to N, which means New- Not submitted. The case

manager may now route the authorization to your supervisor for approval or exit and come

back to the authorization at a later time. To route the authorization to a supervisor press F7 Route/Approve. A message will appear on

the bottom of the screen telling you that the authorization has been routed to your supervisor.

NEED SCREEN SHOT

Create a Substitute Care Authorization - all modules

Choose Option 1 on the main menu - Active Authorizations.

When this option is shown the case manager/supervisor will see the Authorization Review

Screen. NEED SCREEN SHOT

From the Authorizations Review screen press F15 (Shift F3) to access all open authorizations

assigned to a case manager and the Active Authorization Client List screen will appear. NEED SCREEN SHOT

Active Authorization Client List for Screen Function Keys:

F6 Add Client Add client to case manager’s list

F11 Client Master Client Master Index search screen

F12 Previous Prior screen user viewed

F14 Closed Clients Closed cases assigned to case manager

Case Managers: This screen will display an alphabetically listing of all the clients with open

authorizations that are currently assigned to the case manager.

Supervisors: This screen will display an alphabetical listing of all the clients with open

authorizations that are currently assigned to case managers within your unit.

Please see - Search the Client Master Index File to perform a search.

If the client if found pressing F9 will retrieve the information. Review Section Client Information Screen for information on filling in the screen. Once all the information has been filled in press ENTER and the appropriate HSRS screen is displayed (module specific). Review Section HSRS Screen for information on filling in the screen. Once all the required fields on the HSRS screen and press enter to move onto the next step

in the process -the authorization screen. NEED SCREEN SHOT

Authorizations Screen Function Keys:

F8 Add Service Auth Add a service authorization

F10 Add SC Auth Add a substitute care authorization

F12 Previous Prior screen viewed by user

F14 Close Auths Displays closed authorizations for this client

The client name, social security number and birth date are displayed at the top of the screen.

This is the client that the case manager will be creating an authorization for.

If other authorizations exist for this client they will be displayed on the screen in the order that

they were entered (oldest first). To access any of the open authorizations on the client, place

the cursor anywhere on the field of the desired line of the authorization and press ENTER.

Press F10 - Add SC Auth and the following screen will appear: NEED SCREEN SHOT

Substitute Care Authorization Screen Function Keys:

F4 Prompt Access Contract Database

F12 Previous View prior screen

F23 Delete Delete authorization

An authorization may only be deleted prior to being routed to a supervisor. The substitute Care authorization consists of two screens. The first screen deals with the client's

financial information. When a field is followed by an * pressing F4 will display appropriate values

that may be entered into the field.

LTS Code Module specific. Represents the Human Service Department's funding sources for various programs. There is a look-up table with the appropriate values

ISP Updated (V/N) Individual Service Plan has been updated

Assets The maximum amount of assets a waiver client may have is $2,000.00

Monthly Unearned Income

Case managers should list separately all unearned income a client has. Examples would include SSI, Social security, interest income, etc. Do not deduct the $75.00- the formula automatically deducts that amount from the sums entered.

Monthly Earned Income

List the total for earned income for a client. If the client's earnings vary each month, enter the average monthly earnings and place a comment in the Case Manager's Notes- Cost Share Varies. Do not deduct the $65.00- the formula does this automatically

Monthly Client out of pocket expenses

Fill in all appropriate expenses for the client. The expenses listed on the form represent items the clients pay directly, and therefore that money is not available to be used for the substitute care and room

and board

Voluntary Payment (Y/N)

If the client will make a voluntary payment towards their care they should place a Y otherwise fill in an N. If you answered Y on the next line fill in the maximum voluntary amount. The actual voluntary amount will be calculated by the system

Total Waiver Cost Share

Enter the waiver cost share amount you received from Economic Support

Client Pays Brown County (Y/N) Client Pays Provider (Y/N)

If the client will pay their cost share to Brown County put a yes in Brown County and an N in provider. If the client pays the provider put an N in Brown County and a Y in Provider. Both fields must be filled in and they can never both be Y

Provider* The provider field value will be pulled from the contract database. The database is maintained by the Contract Department. If a user has any questions about a vendor or the absence of a vendor in the table contact the Contract Department

Fac* The facility field value will be pulled from the contract database. The database is maintained by the Contract Department. If a user has any questions about a vendor or the absence of a vendor in the table contact the Contract Department

Start Date The date the substitute care placement begins

Review Date The date the substitute care placement will end. For a full year the start date would be 1/1/2005 and the end date would be 1/1/2006

End Date Only enter an end date when the client is in a facility for a partial month.

Partial Month N – Full month or full year 1 – The first month the client is in the facility and it is a partial month 2 – The last month the client will be in the facility and it is a partial month 3 – The client is in and out of the facility in the same month Remember- if a client is entering a facility in the middle of a month the case manager must do two authorizations. The first authorization covers the partial month and the second authorization is used to cover the remaining months

Case Manager Comments

This is a text field. The case manager may enter information that is helpful for their supervisor and/or the clerks

Example:

The case manager is going to issue an authorization where the client will be entering and leaving a facility in the same month.

Fill in all the financial information:

NEED SCREEN SHOT

Once all the financial information has been filled in you will want to search the

contract database to find the provider. See Section 13- Searching the Contract

Database for a provider- to perform a search.

Once the correct provider has been located in the contract database you may retrieve the

required financial information by putting your cursor anywhere on the correct provider line and

pressing F9.

The following changes will appear on the screen: The Provider name and facility description have been filled in. NEED SCREEN SHOT

You should finish filling in the form by entering the start and review date. You should use

the appropriate code for the partial month and add any comments you want. NEED SCREEN SHOT

Pressing enter will bring up the Substitute Care Authorization- Display Screen: NEED SCREEN SHOT

To route the authorization to a supervisor press F7 - Route/Approve. A message will appear

on the bottom of the screen telling you that the authorization has been routed to your

supervisor. NEED SCREEN SHOT

Pressing enter from the Substitute Care Authorization Display screen will give you the

option to view the status of the authorization: NEED SCREEN SHOT

Unearned Income - Monthly allowance examples:

If your unit allows an allowance greater than the $75.00 that has been provided for in the formula do the following:

Under the Monthly client out of pocket expense on the Other line enter ADDITIONAL

ALLOW and put the additional amount of the allowance on the line. In the following

example the client receives an allowance of $85.00:

NEED SCREEN SHOT

If an individual receives an allowance that is less than the $75.00 that has been provided

for in the formula do the following:

Under the monthly-unearned income in the number 4 field enter the amount of the

allowance the client does not receive. In the following example the client receives a

monthly allowance of $45.00: NEED SCREEN SHOT

Change/Delete/Cancel Authorizations

Review Authorizations Awaiting Activity Que You should review this que daily, or upon receiving notice from a supervisor or finance clerk that an authorization has been returned to you. Select “2-Authorizations Awaiting Activity” on the Authorizations Menu screen

Open the auth and select F15 (Shift / F3). If the auth was returned, this screen may have comments from a Supervisor or Financial Reviewer as to why it was returned.

How to Close an Auth – CLTS? Open the authorization you wish to close

1. Enter “end date” 2. Enter “1” in the “RVS CD” section 3. Hit ENTER 4. This auth will be routed directly to WPS

How to Delete an Auth

You can only delete an authorization that has not been approved by the supervisor. 1. Tab down to the authorization you want to delete from the auth list 2. Open the auth, press F23 (shift / F11) “delete” 3. The auth will clear and you can F12 to back out to the authorizations list; the deleted auth

should no longer appear in the listing

How to Cancel an Auth – CLTS? CLTS Note: You can only cancel auths that have been approved by WPS, but do not, and never had, a claim against them. In other words, an auth that was submitted, approved, and no payments were made against it.

1. Open the auth you wish to cancel 2. Enter “C” in the “RVS CD” section – do not change anything else, the cancel auth needs to

be the same as the original 3. Hit Enter 4. This routes the cancelled auth directly to WPS

How to Modify an Auth – CLTS Situations in which you may need to modify an auth might include:

A family’s allotted budget for a specific service needs to be increased/decreased

A child is no longer eligible and the auth needs to be closed or closed sooner than originally specified

A child’s number of hours/wk/month for a specific service needs to be increased/decreased

Modify a Yearly Auth

Starting on the authorizations list ….

Modify a Member Auth

Follow the same steps for modifying a yearly auth, however, when you …

Change from Member auth to Yearly auth or vice versa

You cannot change types of auths. If ….

Funding Code Changes - CLTS

1. Modify existing auth that has the old funding code. 2. Close the auth by entering the last date the old funding code is used. This date is entered in

the “End Date” area 3. Place a “1” in the RVS CD field if not already there. This will send the auth to WPS coded

as modified auth 4. Press ENTER 5. Press F7 to route 6. Create new auth with the new funding code and the date of the change as the start date

The vendor may receive notice to refund any payments that occurred from the old auth after the date of change. The vendor can resubmit a claim toward the new funding code auth to recapture the refund. Best practice will be to share with the vendor the change is occurring.

STATUS 3 IS NO LONGER ACCURATELY AVAILABLE; DO NOT USE THIS FEATURE TO ATTEMPT TO CREATE CHANGES IN FUNDING CODES

Search the Contract Database for a Provider

A provider must exist in the contract database before a case manager can issue an authorization

for services or substitute care. A search of the database may be done by provider name, facility

name or by SPC code. A facility name search would be used for substitute care authorizations.

Search by SPC code/Facility/Provider Place the cursor in the Provider* field and press F4. The following screen will appear:

NEED SCREEN SHOT Users will see a listing of providers by SPC code.

Search Options - Contract Database

There are several search methods available in an attempt to locate a provider within the

contract database. The option(s) used depend on the information available to you. The

options include:

1. SPC Code

2. Facility Name

3. Provider Name

Once the search criterion is entered, the system begins the display with the first

provider record that matches the criteria. The system allows you to page forward

through all provider records from the point forward. At the top of the Services Search/Selection screen are the fields that will allow you to search by SPC code, Facility and/or Provider. You will enter the appropriate criteria in the correct field to search the database.

Searching by SPC code: Enter the SPC code in the SPC code field as shown and press ENTER. NEED SCREEN SHOT

The system returns the display with the first record that matches the SPC criteria as

entered. You may then page forward if the desired provider does not appear on the first

screen. The page down key will allow you to scroll forward.

To retrieve the provider/rate information into the open authorization, place the cursor

anywhere on the provider line and press F9 Retrieve.

If you want to see additional information about a provider before retrieving the record,

place the cursor anywhere on the provider line and press F7 - Service Detail. The

following screen will be displayed: NEED SCREEN SHOT

Note the additional information provided for each provider. Depending on the SPC code and the provider's contract, the information will differ for each vendor.

Provider Search by Facility: You may perform a facility search when the name of the facility is known. Enter the facility

name in the facility name field as shown and press ENTER. NEED SCREEN SHOT

The following screen will be displayed: NEED SCREEN SHOT

The system returns the display with the first record that matches the facility criteria as entered.

The page down key will allow you to scroll forward.

To retrieve the provider/rate information into the open authorization, place the cursor anywhere on the provider line and press F9 If you want to see additional information about a provider before retrieving the record, place the cursor anywhere on the provider line and press F7 - Service Detail. The following screen will be displayed: NEED SCREEN SHOT

You may perform a provider search when the name of the provider is known. Enter the

provider name in the provider name field as shown and press ENTER.

The following screen will be displayed: NEED SCREEN SHOT

The system returns the display with the first record that matches the provider criteria as

entered. You may then page forward if the desired service does not appear on the first

screen. The page down key will allow you to scroll forward.

To retrieve the provider/rate information into the open authorization, place the cursor

anywhere on the provider line and press F9 ­ Retrieve.

If you want to see additional information about a provider before retrieving the record,

place the cursor anywhere on the provider line and press F? - Service Detail. The

following screen will be displayed: NEED SCREEN SHOT

Check Authorization Status The authorization status field, which is carried on each authorization and set by the system,

denotes the status of an authorization within the approval process.

Field Value Description

N New authorization-not yet submitted for approval

1 Pending Program Supervisor Approval

2 Pending Financial Review Approval

3 Approved for Payment

4 Acknowledged/processed by financial clerk

5 Returned to case manager

6 Returned to program supervisor

7 Returned to financial reviewer

9 Closed

To view the status of an authorization the case manager will choose Option 1 - Active

Authorizations from the Authorization menu.

From the Authorizations Review screen press F15 (Shift F3) to access all open

authorizations assigned to a case manager and the Active Authorization Client List

screen will appear.

NEED SCREEN SHOT

Active Authorization Client List for Screen Function Keys:

F6 Add Client Add client to case manager’s list

F11 Client Master Client Master Index search screen`

F12 Previous Prior screen user viewed

F14 Closed Clients Closed cases assigned to case manager

Case Managers: This screen will display an alphabetically listing of all the clients with open

authorizations that are currently assigned to the case manager.

Supervisors: This screen will display an alphabetical listing of all the clients with open

authorizations that are currently assigned to case managers within your unit

Searching for an existing client on a case managers work load:

Case managers must perform a name search to see if the client is already open on your

caseload.

Position the cursor on the name field and enter the client's last name and press

TAB. Enter the first letter of the clients first name and press ENTER

If the case manager has existing authorizations for a client their name will appear and you

may access a particular client's open authorization information by placing the cursor

anywhere on the client's name and pressing enter.

Once you have accessed the client screen you will see a listing of all open authorizations.

Placing the cursor anywhere on the line and pressing enter will open that authorization. In

the right hand corner you will see the status of that particular authorization.

AS400 Function Keys

F3 EXIT Allows user to exit the current screen

F4 PROMPT Retrieves the client master search screen, contract database search screen or a drop down box with values

F5 REFRESH Refreshes the current screen once changes have been made

F6 ADD/CHANGE Allows a user to add a new authorization or change an existing authorization

F7 ROUTE /APPROVE Routes an authorization to a supervisor, financial reviewer or payroll clerk

F8 ADD SERVICE AUTHORIZATION Routes to the add service auth screen where you may enter an authorization

F9 RETRIEVE Retrieves a client master record or a value from a look-up table

F10 ADD SUBSTITUTE CARE AUTH Routes to the add substitute care screen where you may enter an authorization

F11 CLIENT MASTER INDEX Routes to the client information screen where you may update the demographic information on a client.

F12 PREVIOUS Routes you to the prior screen Viewed

F14 CLOSED CLIENTS Routes user to a screen where you may view closed authorizations on a particular client.

F15 CONTINUE Routes you to the next screen

F16 ACKNOWLEDGE Used by the payroll clerks to load the new authorization into the vendor payment system.

F23 =DELETE Used by individuals authorized to delete authorizations before they have been sent to supervisors for approval

Those Wonderful “F” Keys Mnemonic

F3 Will get you out;

You can start over – there’s no doubt

F4 Means there’s a star

To prompt your answer –

Tell you where you are

F6 Lets you add a client and

Provide a service to a baby giant

F7 Means you’re nearly done –

T’will route your auth to the next someone

F8 Is the step where you create

The auth you need to facilitate

F9 Means you will retrieve –

Makes your life easy – just believe

F12 Goes back one screen

Lets you fix the stuff you didn’t mean

F15 is a shift F-three

To continue on so happily

LTS Codes/Funding Source

Funding Source Module Description Room & Board

Modules

Module Description

A Long Term Support (All Waivers & COP)

1 Core/Base (DD, ELD, EAG, PHY, ACT 405)

6 AODA

9 CTP

Child Support – DNA Testing Authorizations Finance processes invoices from Child Support regarding DNA testing. They are sent via inter-departmental mail and be labeled as confidential. In order to pay the invoices, Finance does need caseworkers (or someone designated with this responsibility) to create an AS400 authorization once a test is ordered. Kevin Brennan’s unit has staff tasked with creating these authorizations in AS400. Finance forwards the invoices to Kevin Brennan, who tasks Kristie Sickle, Kayce K., or Amy Dindledine with entering the authorizations within 24 hours. The funding source (DNATST) is as shown below. The GC Code was also set up for posting to the 144 cost center.

Post-Reunification Authorizations Remember to include the CASE ID in the comments section of all Post-Reunification authorizations (CASE ID ########)

Adult Protective Services Quick Reference SPC 603/301

If you are opening a new case to HSD who is not on the AS400

1. Complete the electronic version of the AS400 and email to clerk (Lila Schiltz) 2. Target group for APS is 58 for all new cases 3. Clerk will enter the information into the AS400 and the sheet will be routed back to APS

worker to complete authorization on AS400 4. APS Worker completes auths for 301 and/or 603 on the system using the APS funding

codes (APSCMI, APSAODA, APSDD, APDELD, APSPD) 5. Print and file copy of the authorization 6. Authorization will be processed by supervisor, billing clerk and HSRS for entry 7. APS worker will enter the person on the time reporting log (CM Log) and track the time 8. The log will be sent electronically by the 5th working day of the next month to Mary

Rasmussen and the supervisor 9. The time will be compiled and forwarded to billing for entry

If you are doing an auth for someone one the system for 301/603 1. Check demographics (i.e. address) and make changes if necessary 2. Do not change the Target group if the case is already open in another unit.

a. In the case of CTP clients, they are open in the Mental Health Module. Do not change the target group.

b. HSRS keyer will enter 58 as the target group for all open cases in CTP that have APS activity for 301 or 603.

3. APS Worker completes auths for 301 and/or 603 on the system using the APS funding codes. (APSCMI, APSAODA, APSDD, APDELD, APSPD)

4. Print and file copy of the authorization 5. APS worker will enter the person on the time reporting log (CM Log) and track the time 6. The log will be sent electronically by the 5th working day of the next month to Mary

Rasmussen and the supervisor 7. The time will be compiled and forwarded to billing for entry

Closing the auth

1. When you have finished the investigation or finished the court work and have received the paperwork with the end result from the court then:

a. Enter the closing date on the AS400 authorization system b. If APS was the only services opened for the client enter a closing date and reason

on the HSRS part of the authorization and file the case c. If the client is open with other units for services close only the authorization portion of

the auth 2. If the case is not completed by the 90 day review date on the authorization, the

authorization will be reviewed and extended an additional 30-60 days based on circumstances of the case and supervisor approval.

3. HSRS will be generated and filed with the closed case

Juvenile Justice Quick Reference

INSTRUCTIONS FOR AUTHORIZATION SERVICES Target Group Code Definitions:

Child(ren)

Target 61 = Abused and Neglected Child

Parent(s)

Target 78 = Family Member/other of Abused and Neglected Client

Client Characteristic Codes:

Child(ren)

Client Char 68 = CHIPS

Parent(s)

Client Char 64 = Family member of abused/neglected child

Step 1

Step 2

Step 3

Step 4

Sign on to AS-400

HSRS MODULE 2

FUNDING SOURCE: Use "Cheat Sheet"; "Tab" to next field

PROVIDER RATE: Usually filled in by computer; if not, refer to "cheat sheet"; "Tab" to next field

CLIENT SERVICES SCREEN: Press "1" Press "Enter" key

AUTHORIZATIONS; Press F8 to add Service Authorization

ISP UPDATED: Enter "N" "Tab" to next field

UNITS: Enter number of units approved for services; "Tab" to next field

CLIENT SERVICES MAIN MENU: Press "7" Press Enter key

SERVICE AUTHORIZATION; Press F4 to access providers

SPC: Check "cheat sheet"; change if needed; "Tab" to next field

UNITS OF MEASURE: Usually filled in by computer; if not, Press F4; place cursor on chosen unit; Press F9 to retrieve, "Tab" to next field

AUTHORIZATION MENU: Press "1" + "Enter" key

PROVIDER LIST: Type in provider name; Press "Enter" key

SPC END REASON: "Tab" to next field

FREQUENCY: Press F4; select frequency with cursor; Press F9 to retrieve

AUTHORIZATION REVIEW: Press "Shift" +F3 to continue

Place cursor on selected provider; Press F7 for information

START DATE: Enter start date (8 digit - modayear) :Tab" to next field

AUTHORIZED TOTAL: Press "Enter" to get authorized total

ACTIVE AUTHORIZATION CLIENT LIST: Place Cursor on name of selected client; Press "Enter" key

Find Provider & Services on list; place cursor on selection; Press F9 to retrieve

REVIEW DATE: Enter review date; "Tab" to next field

Press F7 to send authorization to supervisor

CLIENT INFORMATION SCREEN: Change/Update information such as address, phone, social security, etc, etc. Press "Enter" key

SERVICE AUTHORIZATION: Press "Enter" key; fill in highlighted items

END DATE: "Tab" to next field

Press F12 several times to get back to authorization list to add more clients, services or to start the authorization process with a new client

Child Protective Services Quick Reference

How to Create an Authorizaton 4/2015 Prompts are at the bottom of the screens to guide you. After completing an auth ALWAYS remember to F12 or F3 until you “back out’ and no longer have a client’s name on your screen. If not, this prevents anyone else from bringing up that client, including clerks wanting to pay the bill. To make sure your client is in the AS400 . . . Client services (1) - Enter Client services (1) - Enter

Master Index (1) - Enter Type in the last name, tab to next field to enter the first 2 initials of the first name - Enter

If it’s NOT there, email Lila Schiltz with the client info and she will enter it. If it’s there, F12 to the beginning and you’re ready to create your auth.

***ALWAYS USE THE TAB KEY TO NAVIGATE THESE SCREENS***

Start creating your auth . . . 1 – (Client Services) Enter

7 - (Authorizations Menu) Enter 1 - (Active Authorizatons) Enter – this brings up the Authorization Review screen – due in 35 days

Shift F3 - this brings up the Authorization Client list If your client name is on the list, Click on the client needed Enter Skip down to **START DATE**

*If your client is NOT there – hit F6 – to Add Client

F4 – prompt to bring up all client names. Type in client’s last name, tab to enter first two initials of client’s first name, Enter - brings up all clients names Click on the correct client – after verifying the dob –

Enter F9 to Retrieve

Check the info - Update address if necessary – when changes are completed (changes will not show up on the screen, but will alert the clerks who have the ability to change the information) Hispanic field needs a Y or N. Target Group and Client Characteristics are required.

If no numbers are there, can use 78 and 64 respectively. Enter. Continue on…go to **START DATE**

**START DATE**

If there’s a date in the field just hit Enter. If date field is blank - enter Month of service (i.e. 03012015 for March service)

using NO spaces or slashes. Enter (Leave Closing date and Closing reasons blank when creating auths)

F8 – to Add Service Auth F4 - Prompt (brings up vendors-TAKES A LONG TIME)

Type in vendor name – do not enter vendor letters onto the next field -Enter F7 – to view all services for that vendor – DO NOT SKIP F7!

Be very careful when searching and choosing the correct vendor and rates. Use your cheat sheet on various vendors.

F9 – to choose service Enter funding source (use cheat sheet below) Enter N in ISP Updated

Enter SPC code – use F4/F9 for options if you are not certain Start date - the date the authorized services are to begin. If services are charged by the month or a bus pass, use first day of the month. Review date – the date the authorization needs to be reviewed-how long you are authorizing. If services are charged by the month, also use the first day of the following months. End date – ONLY enter an end date if it’s a ONE TIME. If an end date is entered the auth. cannot be extended if the service needs to continue. Rates – rates will be pulled from the contract base when choosing a vendor. Use cheat sheet for rates not pulled from contract base. Units – the number of sessions, visits, hours, miles being authorized Units of measure (F4 for options) – usually prefills if rate prefills, refers to the rates. Frequency – (F4 for options). Choosing “One Time” will eliminate the option of bumping out the date. ENTER (make sure the totals fill in)

F7-route/approve

* * * CPS CHEAT SHEET * * * Wraparound (NEW Currative) Wrap44 104

WRAPAROUND LEVEL 1 - CHILDREN 1 20.09

WRAPAROUND - LEVEL 2 CHILDREN 1 25.40 Family Training Wrap44 507 International Transl Int44 112 Parent Team Wrap44 507 Green Bay Transit Tran44 107 Bellin Wrap44 408

ADD-ON: EIA ETHYL GLUCURONIDE $10.00

5-PANEL TEST - ADULT (ALL RATES INCLUDE OBSERVED COLLECTION) $30.00

GC/MS OR LC/MS CONFIRMATIONS $30.00

10-PANEL TEST - ADULT (ALL RATES INCLUDE OBSERVED COLLECTION) $35.00

10-PANEL TEST+ETHYL GLUCURONIDE+K2 - ADULT $40.00

ADD-ON: K2/SPICE + KS-2 $60.00 Options Wrap44 408

ADD-ON: EIA ETHYL GLUCURONIDE $10.00

ADD-ON: K2/SPICE + K2-2 $10.00 5-PANEL TEST - ADULT (ALL RATES INCLUDE OBSERVED COLLECTION) $25.00

GC/MS OR LC/MS CONFIRMATIONS $28.00 10-PANEL TEST - ADULT (ALL RATES INCLUDE OBSERVED COLLECTION) $35.00

LC/MS/MS SPECIALTY TESTS - VARIES $35.00

10-PANEL TEST+ETHYL GLUCURONIDE+K2 - ADULT $45.00 Day Care CDC44 101

Rate will be based on what the provider charges.

Entering Authorizations into the Vendor Payment System