Facility and Placement Information Details

INSTRUCTIONS

At FAMISPAR (FMOD), press F10 to clear the screen and enter the DCN or SSN of the individual requesting coverage and press CTRL. Case info displays. Enter an “S” in the com field next to the ADM case. On the command line at the top, type FACPLACE (FMJ4).

STEP 1

To add new facility information:

• • • Press F14=ADDFACIL. A blank Facility and Placement Information Details (FMJ5) screen displays.

• • • An “A“ is automatically populated on the command line.

• • • Type in the DVN (if required and known). Then press Ctrl, to populate the name, physical address, city, state, zip code and phone number. Complete the highlighted areas.
    • If the DVN is required but not known, prompt (= F4) in the DVN field, enter the county or prompt out for the county. Press Ctrl. A list of providers in that county displays. Select the correct facility by entering an “S” next to the facility name and press Ctrl. The facility information displays on the Facility and Placement Information Details (FACPLAC/FMJ5) screen.
    • Tab to the Type Field, prompt (=F4) to select the type of facility the individual is residing.
    • Tab to the Date Entered Facility and enter the date of admission.
    • Tab to the Type of Bed and prompt to select the type of bed the individual is in. (Use the Facility Type/Bed Type code table provided to determine the correct combination of facility type and bed type.)

• • • Tab to the DMH Placement field and enter “Y” or “N”. For vendor cases do not enter a Y in this field; even if it is a Department of Mental Health (DMH) client. For SNC cases, when it is verified the individual is place in the facility by DMH contract, enter “Y”. A “Y” entry prevents payment of the Personal Needs grant for SNC.
    • Tab to the Placement Detail Verification field and prompt to choose the appropriate verification code. This field applies to the facility not the DMH placement.
    • Tab to the Expected to stay less than 30 days field and enter “Y” or “N”.
    • Press CTRL. The message “Successfully Added” displays.
    • If no DA-124 information is needed and no other information needs to be entered, fastpath to Eligibility Determination Resolution (EDRES) screen to begin the authorization process. See Step 5
    • If a DA-124 is needed the information displays at the bottom of the FACPLAC/FMJ5 screen. The case pends until the DA-124 is returned and entered. Go to Step 3 if a DA-124 is needed.

Step 3

Update facility information:

• • • To view the DA 124 information from the State Medical Consultant (COMRU), press F14=I124 function key. This is a dynamic function key; it only displays if needed.
    • Press F14 to access the COMRU IMNF screen. Select the appropriate DA124
    • Print (or use PDF Creator to capture the information) the IMNF screen to add to the electronic case record.
    • Press the F6 key to return to FAMIS.
    • Enter the information from the IMNF screen to the corresponding fields on the Facility Placement Screen. See the Quick Guide to IMNF

***VERY IMPORTANT: If there is no date in the FSD DATE field, the assessment is not complete and no information should be entered in the system until that date displays.

• • • Enter the Level of Care (LOC) information from the IMNF (DA-124 Inquiry Report) screen in the DA-124A/B LOC field.
    • COMRU uses the following codes:
      • NF – Nursing Facility
    • IMR – Intermediate Mental Retardation
    • MH – Mental Hospital
    • SNC – Cash Grant State License only
    • CMS – Change in Mental Status
    • None (if none is indicated, the client has been denied by DHSS for level of care. This means the client is denied for payment.)

Press Ctrl to commit the information.
Review the fields at the bottom of the DA-124 Inquiry Report screen:

• • • If a date displays in the Payment Start Date field, the date is entered in the Payment Start Dt (Lev 2 Scrn) field on the Facility and Placement Information Details screen.
    • If DMH Denied field displays an ‘X’, the individual is not eligible for vendor benefits. See the Message field for more information.

The DMH denial overrules the decision made by COMRU even though the LOC field is populated. Nursing facility payments should not be made if DMH denies the individual.

• • • If a date displays in the Payment Stop Date field, this indicates the last day the facility should receive vendor payment for this individual and the date must be entered in the Payment Stop Date field on the Facility and Placement Information Details screen.
    • If this is the only information needing updated, go to Step 5.

SNC facility cannot be updated to VENDOR and vice versa. End date one facility then add and start the next facility with the appropriate dates.

Step 4

End date a facility

When a MHABD participant leaves a vendor facility for another living arrangement, end the facility placement.

• • • Fastpath to the FACILITY AND PLACEMENT INFORMATION screen, by typing FACPLACE or FMJ4 on the command line, and press Ctrl.
    • Then select the facility by typing “S” in the blank field next to the DVN of the appropriate facility. Press Ctrl.
    • Type a “U” on the command line.
    • Tab to the Date Left Facility field and enter the date prior to the date of discharge.
    • Tab to the End Reason field and prompt (=F4) to select the appropriate reason.
    • If this is a Vendor case, tab to the Payment Stop Date field and enter the date prior to the date of discharge.
    • Press Ctrl if all fields have been completed, the message “Successfully UPDATED” displays at the bottom of the page. If this is the only information updated go to Step 5.

Step 5

Authorizing the case:

• • • Press F21 to return to FMJ4 screen, type EDRES on the command line, and press Ctrl.
    • Press F14=REQED to begin the eligibility determination process.

• • • If an ISD displays, select the month in which the ISD displays and press F6=MHABD to resolve the ISD. Then press F20=RESULTS for results. Press F21=RETURN.
    • The screen QMB/SLMB Decision Screen (FM30) displays the actions FAMIS has determined for the individual. Once the information is reviewed and is found correct, you are ready to authorize.
    • Press F18=SELAUTH (Shift + F6). The Select Authorization screen displays. Press F14=AUTH to begin the authorize process.
    • The first month of authorization displays. Review the information to ensure the action is correct. (If not, Fastpath to the screen to update information and begin Step 5 again).
    • Press F24=NEXTSEL (Shift + F12) to view the next month. Review the information to ensure the action is correct.
    • Continue to press F24=NEXTSEL, reviewing each month to ensure the action is correct, until the F23=AUTHORIZE function key displays at the bottom of the screen.
    • Press F23=AUTHORIZE(Shift + F11) to commit the action.
    • Press F21=RETURN (Shift + F9) to check that all actions were authorized.