WAG 20-12-02-b.
The Bureau of Comprehensive Health Services handles prior approval for home health services. The provider can request approval for the first 30 days by phone. If approval is given, a written request must be sent from the provider. The request must
include a statement from the client's physician describing the services needed and verifying that the client is terminally ill.
The provider must submit a written request for services beyond the first 30 days. Ask the client, but do not require them, to apply for SSI and AABD before services can be approved for more than the first 30 days.
The decision on the request for prior approval must be made within 21 days.
