CI-DLS-ACT Grant Funded Services
Instructions for APS CareConnection®

This Information Only Applies to Certain Adult MH Section 17 Services

Grant Funded Community Integration, ACT, or Daily Living Support Services
As of September 1, 2008, requests for prior authorization for grant funding for CI, ACT, and Daily Living Supports (DLSS) are submitted through APS Healthcare. Any community provider who bills MaineCare for these services is eligible to request grant funding for a consumer who does not have MaineCare coverage for these services. The eligibility requirements are the same as the eligibility criteria for Section 17 services.

• Providers will use the APS CareConnection® system to request prior authorization and continued stay requests for grant funded consumers, as they do for MaineCare members. 
• Since September 1, 2008 all Enrollment and RDS information for grant funded consumers is submitted only via APS CareConnection®. 

Grant Funded Services Instructions for APS CareConnection®
Grant Funded Service Requests:
Contact For Service Notification
Prior Authorization
Continued Stay Review
Discharge

How to submit a Contact for Service Notification:
Please see instructions posted at: 
www.qualitycareforme.com/MaineProvider_Update012309.htm

How to begin a Grant Funded Prior Authorization:

• In APS CareConnection®, on the Administrative page, Authorization Type - select Grant Funded PA or CSR.
• Review Type – select Grant Funded Adult Services and choose the service requested under Category of Service.
• Complete and submit the request as instructed for Enrollment/RDS entry in APS CareConnection® (posted in the provider update archive at this link: www.qualitycareforme.com/MaineProvider_Archive.htm )

How to begin a Grant Funded Continued Stay Review:
Use the EXT function to submit a Continued Stay Request off the last authorized (most recent) Grant Funded review (if member is continuing with services on the Grant).

• On the Administrative page the Authorization Type of Grant Funded Continued Stay Request should be currently selected. Review Type and Category of Service should also be currently selected and unable to change.
• Complete and submit the request as instructed for Enrollment/RDS entry in APS CareConnection®.

Discharge:
Discharge these services as instructed for Enrollment/RDS entry in APS CareConnection®. Please note: do not discharge consumers from a Grant Funded PA or Grant Funded CSR when a member is transferring services over to MaineCare funded services from Grant Funded services. Do not discharge consumers from a MaineCare funded PA or CSR when transferring services over to Grant Funded services. Consumers are discharged from services in APS CareConnection® when the consumer has terminated services with the provider. Please see Contact For Service Notification Instructions for when to discharge consumers from CFSNs at:  www.qualitycareforme.com/MaineProvider_Update012309.htm