EFFECTIVE IMMEDIATELY DWMHA Corporate Compliance Advisory
Committee announces the implementation of a COMPLIANCE HOTLINE # -
Integrated Care Alliance Hotline
Leave of Absence (LOA) 3806 Log
When completing the Leave of Absence Log, please ensure that
hospital is identified with a “H”. Remember, when a consumer
is on a Leave of Absence or in the Hospital, services are not to be
billed. If services such as Skill Building are occurring
before/after the Leave of Absence time frame, please identify in
the comment section of the claim. (I.e. consumer attending Skill
Building and returned to LOA status)
If a consumer is on Leave of Absence and had 1:1 staffing before
leaving, identify it as E- Enhanced Staffing/2- LOA on the Leave
of Absence (LOA) 3806 Log.
E/2 = 1:1 staffing & Leave of absence (LOA) on the same
Community Living Support Staff / Hospital
Integrated Care Alliance will not pay for staffing for individuals
admitted to the hospital for medical or psychiatric care.
Integrated Care Alliance will pay for one-to-one staffing when
individuals are transported to hospital Emergency Departments. We
will continue payment through the course of Emergency treatment
when deemed appropriate and necessary.
Once the hospital admits the individual for care, payment for