On page 14, a CM is supposed to be responsible for maintaining Medicaid status and also notifying service providers of authorizations, terminations and re-starts. Also that CM is responsible for evaluation effectiveness of all services? What does this mean and look like? This seems like more of a responsibility for the MCO care coordinator, why would a Brain Injury CM manage this as a provider of services?
Also, where is the DMAS provider manual for review and MCO rules for case management termination?