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