Active Treatment Field is Blank or Service Date is Previous To Active Treatment Effective Date

This reject code applies only to bills for covered Medicaid Waiver services.

Active Treatment Field is Blank

The DD ISC/PAS agency that did the pre-admissions screening level of care determination has not yet transmitted active treatment status information to the Department.

Contact the ISC/PAS agency to ensure that the active treatment information has been transmitted and that the individual's SSN used by the ISC/PAS agency matches the SSN on your ROCS system.

Service Date is Before Active Treatment Effective Date

If you have a pre-award letter, fax a copy to the Medicaid Waiver Unit at (217) 558-2799 and staff will correct the problem.

If not, contact the ISC agency to make sure they transmitted the correct date.

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