MCS E-Mail Notifications

Table of Contents

SARS 2

SAR Escalation 2

SAR assignment to PEER 2

SAR Hospital Readmission 2

SAR decision made 2

Additional information requested for SAR 2

Email request for new SAR justification 3

Email request for SAR Assignment 3

Email Request for Appealed SAR 3

Case Load 3

Case Load addition 3

Case Load transferring mail 3

Grievances 4

Grievance assignment 4

Email request for new grievance 4

Treatment Plans 4

Treatment plan escalation 4

Treatment plan sent back 4

Referrals 4

Patient referred to provider 4

Authorizations 5

Authorization created 5

Authorization adjusted 5

Enrollments 5

Enrollment request being sent back 5

Provider Requests 5

Email request for provider uncertified 5

SARS

SAR Escalation

Type: SARES

Calling Proc: Nightly Process

Subject: ‘SAR #[SARID] – waiting to be processed’

Description: This alert is part of a nightly process to notify a user’s manager that action is needed on a SAR that has less than 3 review days remaining.

SAR assignment to PEER

Type: SARPR

Calling Proc: asp_iu_sar_pc

Subject: ‘SAR assigned for peer review’

Body: ‘Please be informed that a new SAR with # [SAR ID] has been assigned to you for peer review.’

Description: Notifies a user when they are assigned a SAR for Peer Review

SAR Hospital Readmission

Type: SARHR

Calling Proc: asp_submit_sar

Subject: SAR Created – Rapid Readmitted Consumer

Description: Sends an email to all active MCO staff in the CCUR function group when a SAR is submitted for a site marked as ICF and there was a prior SAR submitted for an ICF site (regardless of hospital) within the past 90 days.

SAR decision made

Type: SARDE
Calling Proc: asp_iu_sar_pc


Subject: ‘SAR decision notification from – [MCO]’
Description: Notifies a provider when a decision has been submitted for a SAR. Only active users who have elected to receive this notification will be notified.

Additional information requested for SAR

Type: SARBK

Calling Proc: asp_iu_sar_pc

Subject: ‘More information requested for SAR notification from – [MCO]’

Body: ‘MCO has requested more information for SAR [SAR ID]

Description: Notifies a provider when the MCO is requesting additional information for a SAR by selecting ‘Need more info’ as the Comment Type. Only active users who have elected to receive this notification will be notified.

Email request for new SAR justification

Type: ERFSJ

Calling Proc: --
This notification is currently not active

Email request for SAR Assignment

Type: ERSAS

Calling Proc: --

This notification is currently not active

Email Request for Appealed SAR

Type: ERAPS

Calling Proc: asp_iu_appeal

Subject: ‘SAR Alert for Appeal Process’
Description: Notifies the Current Care Manager entered on the appeal that the appeal has been submitted and includes the appeal ID as well as the submitter’s name.

Care Coordiantion

Discharge note

Type: DISCH

Calling Proc: asp_send_notification_emails

Subject: ‘A Discharge note was written for a consumer’

Description: Notifies a Care Coordinator Manager when a new patient has had a discharge note written.

Case Load

Case Load addition

Type: CASLD

Calling Proc: asp_id_case_load_patient

Subject: ‘New patient added to case load’

Description: Notifies a Care Coordinator when a new patient has been added to their Case Load

Case Load transferring mail

Type: TCASE

Calling Proc: asp_iu_pat_CC_transfer

Subject: ‘List of patients added to case load’

Description: Notifies a clinician when a patient(s) are transferred to their caseload.

Grievances

Grievance assignment

Type: GRIAS

Calling Proc: asp_iu_grievance_trsfr

Subject: ‘Grievance assignment notification’

Description: Notifies a user when a Grievance has been transferred to them

Email request for new grievance

Type: ERNGC

Calling Proc: asp_iu_grievance
Subject: ‘New Grievance’
Description: Notifies MCO staff that are active and in the GRIV function group that a new Grievance has been submitted.

Treatment Plans

Treatment plan escalation

Type: TXPES

Calling Proc: Nightly Process

Subject: ‘Plan #[PLANID] – waiting to be processed’

Description: This alert is part of a nightly process to notify a user’s manager that action is needed on a Treatment that has less than 3 review days remaining and is not Approved, Denied or Reduced

Treatment plan sent back

Type: TXPBK

Currently not used

Referrals

Patient referred to provider

Type: PATRF

Calling Proc: asp_iu_scheduler_appointment

Subject: ‘Patient referral notification from – [MCO]’

Description: Let’s a provider know when a patient has been referred to them or when an appointment has been modified. Only active users who have elected to receive this notification will be notified.

Authorizations

Authorization created

Type: AUCRE

Calling Proc: asp_create_pat_auth

Subject: ‘Authorization has been created by – [MCO]’

Body: ‘MCO has created authorization # [AUTH ID] for SAR # [SAR ID] / SAR Service # [SERVICE ID]

Description: Notifies a provider when an authorization has been created. Only active users who have elected to receive this notification will be notified.

Authorization adjusted

Type: AUADJ

Calling Proc: asp_iu_auth_adj

Subject: ‘Authorization has been adjusted by – [MCO]’

Description: Notifies a provider when an Authorization has been adjusted by an MCO. Only active users who have elected to receive this notification will be notified.

Enrollments

Enrollment request being sent back

Type: ENRLB

Calling Proc: asp_iu_enrollment_merged
Subject: ‘Enrollment request returned back’
Description: Notifies a user when an enrollment they submitted has been sent back requesting additional information/action. This can be either an MCS User or a Portal User.

Provider Requests

Email request for provider uncertified

Type: ERPUC

Calling Proc: ?
Subject: ‘Requested action from MCO’
Description: Notifies AlphaCM when an MCO requests a provider be un-certified for EDI

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