Prior Approval

Prior Approval A. Prior approval must be obtained from the Division of Medicaid before a beneficiary can receive any services through the Elderly and Disabled (E&D) Waiver Program. To obtain approval, the waiver case management provider must complete and submit the current Division of Medicaid approved forms as follows: 1. Long-Term Services and Supports (LTSS) Assessment, 2. Bill of Rights, 3. Plan of Services and Supports (PSS), 4. Emergency Preparedness Plan, and 5. Informed Choice. B. Any request to add or increase services listed on the approved PSS must be submitted to and receive prior approval from the Division of Medicaid and must include documentation substantiating the need for the requested change(s).