PM 20-04-01-a.

  1. (Provider) Checks HFS 469, MediPlan Card, or HFS 1411, Temporary MediPlan Card, to make sure the client is eligible and is not restricted.
  2. (Primary Care Provider) Provides or approves all medical care, for clients restricted by the Recipient Restriction Program.
  3. (Primary Care Provider) Completes HFS 1662, Primary Care Provider Authorization, if a referral to another medical provider is needed.