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MACSIS Support Desk Enrollment Procedures

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.

  1. Client is Medicaid eligible on the date they received services from the provider and is currently enrolled in MACSIS:
    The provider should contact the MACSIS Support Desk and provide them with copies of the enrollment form and all supporting information that was provided to the Board. Once the proper documentation is received, the MACSIS Support Desk will notify the Board (where the client is currently enrolled) via email and wait one working day before giving the UCI number to the provider. If the Board where the client is currently enrolled feels the client is no longer a resident of their board area, the Board may file a residency dispute. In order to facilitate the resolution and tracking of all Residency Disputes, please copy the MACSIS Support Desk on all RDD filings.
  2. Client is Medicaid eligible on the date they received services from the provider and is not currently enrolled in MACSIS:
    The provider should contact the MACSIS Support Desk and provide them with copies of the enrollment form and all supporting information that was provided to the Board. Once the proper documentation is received, the MACSIS Support Desk will notify the affected Board via email and wait one working day before doing the enrollment. The MACSIS Support Desk will enroll the client in a generic plan of the Board where the client resides. The MACSIS Support Desk will then notify the Board where the client has been enrolled and the provider that is treating the client of the UCI number and any other pertinent information. If the Board where the client has been enrolled feels the client is not a resident of their board area, the Board may file a residency dispute. In order to facilitate the resolution and tracking of all Residency Disputes, please copy the MACSIS Support Desk on all RDD filings.
  3. Client is non-Medicaid eligible on the date they received services from the provider and is currently enrolled in MACSIS:
    If the client is receiving emergency services (see the matrix below) the provider should contact the MACSIS Support Desk and provide them with copies of the enrollment form and all supporting information that was provided to the Board. Once the proper documentation is received, the MACSIS Support Desk will notify the Board (where the client is currently enrolled) via email and wait one working day before giving the UCI number to the provider. If the Board where the client is currently enrolled feels the client is no longer a resident of their board area, the Board may file a residency dispute. In order to facilitate the resolution and tracking of all Residency Disputes, please copy the MACSIS Support Desk on all RDD filings.
  4. Client is non-Medicaid eligible on the date they received services from the provider and is not currently enrolled in MACSIS:
    If the client is receiving emergency services (see the matrix below) the provider should contact the MACSIS Support Desk and provide them with copies of the enrollment form and all supporting information that was provided to the Board. Once the proper documentation is received, the MACSIS Support Desk will notify the affected Board via email and wait one working day before doing the enrollment. The MACSIS Support Desk will enroll the client in a generic plan of the Board where the client resides. The MACSIS Support Desk will then notify the Board where the client has been enrolled and the provider that is treating the client of the UCI number and any other pertinent information. If the Board where the client has been enrolled feels the client is not a resident of their board area, the Board may file a residency dispute. In order to facilitate the resolution and tracking of all Residency Disputes, please copy the MACSIS Support Desk on all RDD filings.
Circumstances MH AOD
Medicaid eligible person - emergency or non-emergency Enrollment: Must enroll. Services: Any Medicaid covered service. Enrollment: Must enroll. Services: Any OhioMHAS Medicaid covered service.
Non-Medicaid eligible person - emergency Enrollment: Must enroll. Services: Crisis Intervention for up to three days (72 hours). Enrollment: Must enroll Services: Level I Services:( assessment, individual counseling, group counseling, crisis intervention, case management, alcohol/drug screening analysis, medical /somatic, intensive outpatient and methadone administration) plus Levels III and IV detoxification services for three days or until linkage to treatment is established in the "home county".
Non-Medicaid eligible person - non-emergency Enrollment: Not required. Services: Not required to pay for services. Enrollment: Must enroll Services: Level I services plus Levels III and IV detoxification services for three days or until linkage to treatment is established in the "home county".

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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