Prescribing Amount, Duration and Frequency

Service Code Categories and Classifications

PCSP Budget Policies

The fundamental purpose of the PCSP Budget is to formally declare what the service code's amount, duration and frequency will be.

1. The amount is the product of the service code's rate and units.

2. The duration is the time period defined by the service code's start and end dates.

3. The frequency is the service code's unit type (e.g. the service is delivered on a daily basis, an hourly basis, etc.).

The budget data is also used to control payment processing.  The provider is expected to submit billings that are compliant and compatible with the service code's amount, duration and frequency.  If the billing is not compliant, the payment validations will reject the payment.

The support coordinator is expected to manage the PCSP Budget in compliance with the Request for Services policies which govern:

1. Budget Neutral / Needs Based Changes.

2. Use of Restricted Services.

3. Placing the person in a new service / setting based on an emergency situation.