| 14 |
Individual in Administrative Hold Status |
| 19 |
1st Day of Residential Program Cannot be a Bed-Hold Day |
| 2A |
Bill Date After Current Date |
| 26 |
Invalid Federal Employer Identification Number (FEIN) |
| 27 |
Invalid Fiscal Year for Service Date |
| 28 |
Invalid or Missing Service Date |
| 29 |
Invalid or Missing Individual ID Number |
| 30 |
Invalid Program Code |
| 31 |
Program Code Not Valid for Service Date |
| 32 |
Program Cannot Have Bed-Hold |
| 33 |
Invalid Program Predetermined Bill Type |
| 34 |
Invalid Service Code |
| 35 |
Invalid Billing Unit for Service Date |
| 36 |
Invalid Units Value - Check Amounts and Resubmit |
| 37 |
Invalid Daily Attendance Value |
| 38 |
Invalid Rate Value |
| 39 |
Invalid Charge Amount |
| 40 |
Invalid DMHDD ID Number |
| 41 |
Invalid Bill Processing Flag |
| 42 |
Invalid Previous Bill Processing Flag |
| 43 |
Lapse Period Expired: Adding/Changing Bills Not Allowed |
| 44 |
Invalid From Date |
| 45 |
Invalid Thru Date |
| 46 |
Program Exceeds Daily Unit Cap |
| 47 |
Program Exceeds Lifetime Unit Cap |
| 48 |
Invalid Individual Program Area |
| 49 |
Must Inter Daily Attendance Values |
| 50 |
Bill is Before or After ROCS Provider Start/Termination Date |
| 51 |
Provider Rejected with Invalid FEIN |
| 52 |
Individual's Problem Area Must Be DD or DL |
| 53 |
Invalid Medicaid ID Number |
| 54 |
Individual Not Eligible for Service |
| 55 |
No ROCS Case Opening Found for Individual |
| 56 |
All Fee for Service Program are Terminated for SSN (See Reject Code 75 for correction guidance) |
| 57 |
Invalid Combination of Processing Flags |
| 58 |
Improper Use of Bill Processing Flags |
| 59 |
Service Date is After Bogard Specialized Services Termination Date |
| 60 |
Individual Has Refused Specialized Services |
| 61 |
Name Mismatch with DPA Medicaid |
| 62 |
Invalid Provider Birth Date |
| 63 |
Provider Waiver Enrollment is Inactive |
| 64 |
Invalid Service Mode |
| 65 |
Service Date(s) Overlap with Another Bill |
| 66 |
Either a 31A or 31U Bill Paid Already |
| 67 |
Provider Not Enrolled as Waiver Provider for the Service |
| 68 |
Client Type and Program Type D Not Match |
| 69 |
No Prior Approval or Exceeds Approval Amount |
| 6A |
Personis Bogard in NF, Program Not Authorized |
| 6B |
Person is CILA, Program Not Authorized |
| 6C |
Person is Developmental Training Only, Program Not Authorized |
| 6D |
Person is FAP Stipend, Program Not Authorized |
| 6E |
Person is DD Home-Based, Program Not Authorized |
| 6F |
Person is Authorized in Conflicting DD Program |
| 6G |
Person is Authorized in Conflicting MH Program |
| 6H |
Person is in State-Operated Facility, Program Not Authorized |
| 6J |
Client Type Missing |
| 6K |
Person is MH Home-Based, Program Not Authorized |
| 6L |
Person is Child Residential Waiver, Program Not Authorized |
| 6M |
Person is Child Support Waiver, Program Not Authorized |
| 6P |
Person is Aging Community Waiver |
| 6Q |
Person is DRS Waiver Program |
| 6R |
Person is in DSCC Children Waiver |
| 6S |
Person is in Supportive Living Waiver |
| 70 |
Program Exceeds Monthly Maximum |
| 71 |
Bill Exceeds Monthly Combined Maximum |
| 72 |
Appropriate Professional Credentials Not on File |
| 73 |
Program Exceeds Fiscal Year Maximum |
| 74 |
Program Exceeds Combined Fiscal Year or Bed-Hold Maximum |
| 75 |
No Fee for Service Programs Ever Authorized for SSN |
| 76 |
Bill Rate Does Not Exist |
| 77 |
Bill Already Entered by Another Provider |
| 78 |
Invalid Respite Rate Level |
| 79 |
Rates Conflicting in System |
| 7A |
Individual SSN Not Authorized for this Program(See Reject Code 75 for correction guidance) |
| 7B |
Bill Includes Dates Before or After Authorized Dates |
| 7C |
Program Authorized at a Different Provider |
| 7D |
Provider Has No Active Contract for Services Billed |
| 80 |
Cannot Find County Code for Rate |
| 81 |
Invalid Previous Effective Date |
| 82 |
Invalid Client Name |
| 83 |
Invlaid CILA Indicator |
| 84 |
Invalid CILA Type |
| 85 |
Invalid Combination of CILA Indicator and CILA Type |
| 86 |
ROCS Case Opening Lacks Income Information for Service Date |
| 87 |
Date Must be FY2003 or Later for ROCS Billing |
| 88 |
Individual Not Medicaid Eligible or Incorrect/No DPA RIN |
| 89 |
53B Bill Can Only Be Triggered by 60D Bill |
| 8A |
Income Date Change Transaction, From-Date Not on File |
| 8B |
Income Date Change Transaction, To-Date Already Exists |
| 90 |
Client Open in Program Not Compatible with Respite |
| 91 |
Program Cannot Have Alternate Payee |
| 92 |
Invalid PC Entry Date |
| 93 |
Invalid PC Submit Date |
| 94 |
Provider Expenditure Exceeds Its FY Allocation |
| 95 |
Individual Not Enrolled in Medicaid |
| 96 |
DPA RIN Lacking or Incorrect in ROCS |
| 97 |
Individual Does Not Need Active Treatment |
| 98 |
Active Treatment Blank or Service Date Before Active Treatment Effective Date |
| 99 |
No Current Waiver Redetermination |
| 9A |
Invalid MRO Diagnosis Code |
| 9B |
NPI Not on File for Service Provider |
| 9C |
Foster Care - Not Eligible for DD Child Waivers |
| 9D |
Ineligible Type Of Medicaid Enrollment - Contact ISC |
