Provider determines client's county of residence and follows normal enrollment process, but Board of residence refuses to enroll the client or supply the provider with the client's UCI within ten business days.
Please refer to these reference documents that may be found on the MACSIS web site:
Guidelines and Operating Principles for Residency Determinations Among CMH/ADAS/ADAMHS Boards
While residency questions are being resolved, essential client services are to be maintained, with the primary responsibility for this to rest with the Board from whose system an individual is receiving services. As part of the resolution of a residency dispute, it shall be determined which Board shall be responsible for the costs of treatment services provided during the period of the dispute. In cases where the appropriate state agency determines that a Board other than the Board which paid for the services is the appropriate Board of residence then the Board which paid for the cost of service will invoice the Board of residence. The Board of residence will be expected to pay the Board of service within a reasonable amount of time.
[For Medicaid purposes only, while the residency dispute process is taking place, the automatic contracting and payment of Medicaid reimbursable services is not to be interrupted or delayed in any way. This is to say that no changes are to be made to the MACSIS "plan" the client is enrolled in, Medicaid reimbursable services are to be continued to be provided and paid for and, if necessary, the "Secondary" Medicaid Contract is to be established within the 30 day limit. For MACSIS purposes, OhioMHAS reserve the right to take any action deemed necessary to assure this process is strictly adhered to.]
Out of County Enrollment Process and Residency Dispute Process Guideline
The Macsis Support Line is not responsible for settling residency disputes and therefore, should not be expected to respond to board disputes which might result from the e-mail notification. They will continue, as outlined in this procedure (i.e., enrolling the client) and the disputing board must then file the appropriate dispute as noted in the RDD guidelines.
Residency Dispute Determination Process (MACSIS) Instructions for Executive Directors of ADAMHS & CMH Boards
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