{"id":48,"date":"2025-07-16T13:08:17","date_gmt":"2025-07-16T13:08:17","guid":{"rendered":"http:\/\/box5846.temp.domains\/~bluesid3\/?page_id=48"},"modified":"2025-07-16T18:42:29","modified_gmt":"2025-07-16T18:42:29","slug":"approvals","status":"publish","type":"page","link":"http:\/\/box5846.temp.domains\/~bluesid3\/approvals\/","title":{"rendered":"Approvals"},"content":{"rendered":"\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color wp-elements-bf071212645003f42c52621dd6ff32bc wp-block-paragraph\"><a href=\"http:\/\/box5846.temp.domains\/~bluesid3\/approval-notification-requirements\/\" data-type=\"page\" data-id=\"54\">42 CFR 460.121(j)(1)<\/a><\/p>\n\n\n\n<p class=\"has-vivid-cyan-blue-color has-text-color has-link-color wp-elements-db3c600418326be41d34d1778f5c054d wp-block-paragraph\"><a href=\"https:\/\/www.ecfr.gov\/current\/title-42\/part-460\/subpart-G#p-460.121(i)\" data-type=\"link\" data-id=\"https:\/\/www.ecfr.gov\/current\/title-42\/part-460\/subpart-G#p-460.121(i)\">42 CFR \u00a7 460.121(i)<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Approvals do not require an assessment, but one should be conducted if the IDT believes it will deny or partially deny a request. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An SDR is considered finalized when the participant is provided with notification of the decision. For an Approval, the notification may be verbal, written or both. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Verbal notifications must be documented in the medical record to the same standard as a written notification. Thus, all documentation of approval notifications (verbal or written) must include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>An estimated timeline of when the participant should receive the service<\/li>\n\n\n\n<li>Any conditions of approval before the service will be provided (example: The IDT authorizes a dental bridge to be provided if the OMFS agrees it is needed).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>42 CFR 460.121(j)(1) 42 CFR \u00a7 460.121(i) Approvals do not require an assessment, but one should be conducted if the IDT believes it will deny or partially deny a request. An SDR is considered finalized when the participant is provided with notification of the decision. For an Approval, the notification may be verbal, written or [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-48","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/pages\/48","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/comments?post=48"}],"version-history":[{"count":5,"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/pages\/48\/revisions"}],"predecessor-version":[{"id":107,"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/pages\/48\/revisions\/107"}],"wp:attachment":[{"href":"http:\/\/box5846.temp.domains\/~bluesid3\/wp-json\/wp\/v2\/media?parent=48"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}