If a participant’s needs should change during the originally authorized time frame, it may be appropriate to request an increase or decrease in services as appropriate to the participant’s situation. In this event, the Provider shall complete an ABI Prior Authorization Modification/Monthly Progress Report form which is submitted to the ABI Service Coordinator for review. The ABI Service Coordinator will submit the ABI Program Prior Authorization Modification/Monthly Progress Report Form to the ABI Program Manager for final approval of the modification request. This approval is based upon the recommendation of the ABI Service Coordinator regarding appropriateness and the availability of funding if the modification requires an increase in services.

The ABI Service Coordinator and Provider will receive a copy of the ABI Program Prior Authorization Modification Form, once processed by the ABI Program Manager.

All requests for increases in services originally authorized require the submission of the ABI Program Prior Authorization Modification/Monthly Progress Report Form. The request should be submitted prior to delivering the additional services. The ABI Program is not responsible for services delivered that are not authorized.

Requests for a decrease in services originally authorized is required when the amount of service delivered is less than the original amount of services authorized. The request for a decrease in authorization is also submitted on the ABI Program Prior Authorization Modification/Monthly Progress Report Form. This form should be submitted to the ABI Service Coordinator by the 10th of the month following the month of service.