Medical Service, Equipment and Supply Service Authorization Timely Determination Rate: New Routine Requests

Count and percent of Medical Service, Equipment, and Supply Service authorization determinations for new routine requests made within 14 calendar days after receipt of request for requests made during the measurement period.

  • Exclude authorization requests that extend beyond the 14-day period due to the following:
    • The member requests an extension, or
    • The MCO justifies a need for additional information and the extension is in the member's interest.
  • Exclude requests for Non-Emergency Medical Transportation (NEMT) from this measure.
  • Exclude those billed at Pharmacy Point of Service (POS).

 

Measure Identifier: SERVICEAUTH.03

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Please see Report Details below for more information on selected subgroups, organizations, and aggregation.

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Report Details

Generated on Dec 21 2024 at 08:20
Measures: Medical Service, Equipment and Supply Service Authorization Timely Determination Rate: New Routine Requests
Max Time Periods: 16
Organizations: All (aggregated)

Citation: NH Department of Health and Human Services. Bureau of Program Quality. Report generated on Dec 21 2024 at 08:20. [http://medicaidquality.nh.gov]

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