| Form
#1: Prior Service Authorization Request is
used to make the initial PSA request. This form lists the minimal information
that must be submitted in order to document the medical necessity of each
requested service. Form #4: Request for Reconsideration is used to request reconsideration of a PSA determination that results in the termination, denial, or reduction of a service. Please note that reconsideration is an internal PSA process that allows for the submission of additional information. A new review team (two reviewers and a physician or dentist) is assigned to the reconsideration review. This does not affect a consumer's right to a Medicaid Fair Hearing; however, a consumer may not need to proceed with a hearing if services are approved by the PSA program on reconsideration. Download Adobe Acrobat Reader |
Two forms are very important for waiver support coordinators, consumers,
and family members:
Prior Service Authorization Request,
and
Request for Reconsideration.
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2008 PSA Training
The Florida MAXIMUS Prior Service Authorization Program completed 15 training sessions in the Fall of 2007 for Waiver Support Coordinators (WSC) and Area Agency for Persons with Disabilities (APD) staff. Recent changes in law implemented by APD resulted in transitioning of all PSA submission responsibilities from WSC to Area APD staff.
Designated Area APD staff now have the ability to submit Prior Service Authorization requests on-line. Additional Area APD staff needing to gain access to the web application should submit a MAXIMUS PSA Web Access Form (found below) and refer to the Training Materials (also attached below). Once the form is completed and signed by the staff and his/her supervisor, it may be faxed to the PSA Unit at: (866) 887-0743 (Areas 1, 2, 3, 4, 12, 13, 23) or (866) 407-7301 (Areas 7, 8, 9, 10, 11, 14, 15).