If you need to forward the agreement to another agency or to DHS for authorizations, enter the three-digit number assigned to that agency. The control box must be disabled if the person does not receive excluded time services. The service agreement displays “N” for the Excluded Time field. After you create and save an agreement, you can no longer change the type of agreement. To change the contract type, delete the contract and create a new contract. After selecting the agreement type, select the MMIS agreement type from the drop-down menu. Registers this contract and creates a new service related to this agreement. Only for AC agreements. Select the method of payment of the tax from the drop-down menu. You must approve all scheduling arrangements before you can change the status of the plan on the Plan screen in Closed. After selecting the agreement approved by the Agency, select the name of the person who approves this agreement. Make sure you have chosen the country of residence on the contract screen before adding a service, otherwise you will not be able to save the service.

You must choose the place of residence on the contract screen before adding service positions to the agreement. If you do not select a country of residence before adding a service line, you cannot back up the service line. Used by DHS to communicate with the service manager/coordinator. When a Y is entered into MMIS, each provider generates a letter that contains only the services provided by that provider. Removes the current agreement and all available service positions for that agreement. This is a narrative box that takes notes on the entire chord. Translate targets in a more narrative way so that suppliers can see them more person-centric. If the service positions with the Status From Outside are available, a dialog box appears after selecting the Agency-approved option and clicking Save and Close. You can either enter into the agreement with the pending service positions, or you can conclude the agreement and change the status of the service positions in Approved.

Leave this checkbox disabled to indicate that there is no tax intermediary for APC agreements. Leave this control box disabled for agreements other than PCA. The options displayed in this drop-down menu depend on the type of agreement you selected from the agreement type drop-down menu. Some types of agreements have only one option. Other types of agreement – for example. B Rule 185 DD/RC – have no options for the type of MMIS agreement. If you delete the date with the “x”, the date changes to “01/01/0100”. Information on entering into and entering the service contract in MMIS can be found in DHS-4625. On the screen agreement and in the Image Service Contract report, you will find a description of the impact of the control boxes and text fields of this part of the screen on the display in the Service Contract report. MMIS User Manual Contact your supervisor with any questions regarding access to this document.

Clear this checkbox if the person does not live with the responsible party or if the person does not have a responsible party. For more information, see the Excluded Time section of the Authorization Policy Manual. You can also enter the date in the text field in MM TT YYYY format. Use a foreground zero for days and months less than 10. Enter only numbers. Do not enter obliques (“/”) or other characters. Check this box to indicate that the person will use a financial intermediary. Leave empty if the person does not have a responsible party. Enter the supplier number specified by the assigned certified manager/assessor. If there is an amount, you have to enter both dollars and cents. The end date defaults to one year from today`s date.

If you work for a tribe, enter the tribe`s three-digit SACTAD number. Use the calendar or enter the text box to select the end date. Clear this checkbox to display “N” (for “no”) in the service contract report. If you selected the payment method “05 – customer makes a partial payment” in the DROP-down box of the AC tax, enter the partial amount to which the person has given his consent.. . .