Claims/Appeals

CLS Service Tracking

CLS (H2015, H2016, H0043) documentation must correspond to the specific goals and objectives written in the individual’s most current treatment plan. Personal Care (T1020) documentation must correspond with the level of assistance for each task identified by the individual’s 3803.  Medicaid will not pay for these services unless properly documented.

Other

Please send behavior plan data sheets and incident reports by fax, mail, or encrypted email to our performance improvement team.