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What is Pds 099 -
What is Pds 099 -
General self-directed supports /Pre-Enrollment Transition Supports?
General self-directed supports /Pre-Enrollment Transition Supports?
If an individual/family is unable to obtain 099 services through a vendored SDRC provider, then the individual/family may chose to complete the PDS vendorization process to become a vendored Employer (490) w/ SDRC, in order to hire a qualified, non-vendored provider through a PDS FMS Agency of their choice.
What is the difference between Traditional 099 & PDS 099?
Traditional 099
Traditional 099
Provider must be vendored w/ SDRC.
Paid through SDRC's E-billing System.
Requires 099 POS through the providers vendor #.
PDS 099
PDS 099
Adult individual or Family Member must be vendored w/ SDRC, the provider is not vendored.
Invoices are submitted to & paid through the PDS FMS Agency.
Requires 2 POSs: PDS 099 POS & monthly PDS FMS Fee POS
PDS Process
1. Planning Team Meeting is held & need for PDS 099 is identified. The SC provides the indivdual/family with the PDS Information Packet to review their role & resposibilities in PDS.
2. The individual/family member completes the PDS Info Sheet with SC. Identifying who will be vendored as the Employer (490), which PDS FMS Agency they have called & confirmed to utilize, & what PDS services they will be utiliszing. The SC submit the PDS Info sheet to intiate PDS Vendorization Process.
3. A SDRC Resource Coordinator will contact the identified Employer (490) to complete the PDS vendorizatin process. Once Employer is vendored, the PDS Approval Letter will be sent out to the Employer, SC, Business Services, & the PDS FMS Agency.
4. The SC will get an IPP/IPA signed to add service with tentative start date and enter 490 FMS Fee POS & PDS 099 POS.
5. Once POSs are authorized, the Employer will work with the PDS FMS Agency to onboard the 099 service provider.
6. Once the PDS FMS Agency confirms the 099 service proviers credentials. PDS FMS Agency will then provide a confirmed start date of when 099 services may begin.
099 Service Provider Qualifications (DDS Directive 07/02/2024)
1. SDP General Self-Directed Supports - Qualification & Agreement Form
2. HCBS Provider Agreement
3. Other documents requested by the FMS to determine eligibility & payment (i.e., business license or info for issuing payment)
4. Confirmation provider is eligible to provide Medicare services per WIC, Division 9 Part 3.
Important Things to Remember......
*Services may NOT begin until the PDS FMSs confirmed start date.
*099 services may NOT begin until after SDP Orientation & intial Person-Centered Plan (PCP) are complete.
*An adult individual or a family member must be vendored & approved for PDS in order to be eligible for PDS funding.
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