ND MMIS produces SA notification letters to providers, members, and additional parties as defined by the State. SA requests and updates are received from providers either through the mail, fax, phone, North Dakota MMIS Web Portal, or electronic file transfers. SA notification letters are used to provide official notice of SA status changes, changes to previously approved SA records, and to request additional information from providers.
ND MMIS has many options to tailor Service Authorization (SA) letters based on the needs of specific program areas. Letter options include the ability to specify the rules or conditions for sending a letter, the letter template used to produce the letter, the people who will receive the letter, the sender’s contact information, and disclosures and enclosures to include with the letter. Letter requirements are entered and maintained using the SA Letter Assignment function in Rules Management.
The SA letter assignments are used in a scheduled batch processes to create SA notification letters. For the letters to be generated during the nightly batch cycle, an SA letter assignment must be added to ND MMIS. Once an SA letter assignment is added, it can be viewed, edited, or deleted.
A letter template to support the SA letter assignment is also needed. During the nightly batch, the SA letter assignment criteria are used to generate and address the letters.
Ranking of the SA letter assignments is important. If the SA letter generation process finds multiple matching SA letter assignment records, the record with the lowest numerical ranking is used.
When you are ranking SA letter assignments, it is recommended that you use numbers such as 10, 20, 30, and so on. This allows gaps between the numbers so you can easily add new SA letter assignments in between existing ones. Otherwise, if the rank is consecutive (1, 2, 3, and so forth), you would have to renumber existing SA letter assignments if you wanted to add a new one between two existing numbers.
How to Search for and View an SA Letter Assignment
How to Add or Edit an SA Letter Assignment
How to Delete an SA Letter Assignment
What Is Service Authorization?
Version as of 5/16/14.
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