PM 20-12-02-b.

  1. (Provider) Calls BCHS (217/782-5565) to request prior approval for first 30 days.
  2. (Provider) Submits HFS 1409, Prior Approval Request, if request is granted.
  3. (Provider) Includes with HFS 1409, a statement from client's physician including:
    • type of services,
    • frequency of services,
    • duration of services, and
    • verification that client is terminally ill with a life expectancy of 6 months or less.
  4. (Provider) Submits HFS 1409 for requests beyond first 30 days.
  5. (BCHS) Immediately notifies the Bureau of Program and Field Management (BPFM) when a request for home health services for a terminally ill client is received.
  6. (BPFM) Contacts Family Community Resource Center (by phone and memo) to tell them of request for services.
  7. (BPFM) Asks Family Community Resource Center to contact client.
  8. (FCRC) Ask client to apply for SSI and P3 Transitional Assistance.
  9. (FCRC) Take action on 07 case.
    1. Cancel case if client has a Transitional Assistance case approved.
    2. Do not cancel case if client doesn't apply for SSI.
  10. (FCRC) Help client, if possible, by contacting a representative who may be able to help client apply for SSI.