“The individual’s MCO must be notified if the CANS Lifetime is completed and results indicate a potential fit for a standalone EBP. CPST providers shall work with MCOs and referral receiving agency to ensure the CANS Lifetime is not repeated if not necessary, proper care coordination occurs, and that all parties are aware of ongoing assessment dates.” For CSB’s is any of this case management activity billable?
“If an individual is not making progress in CPST after the authorization period, the individual shall be referred to an appropriate EBP.” How is progress defined by whom? Suppose an “appropriate EBP” is not available?