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Medicaid Service System

MSS is used statewide by county boards of developmental disabilities as the single common system to project the total costs of services for an individual based on assessed need to assure health and safety.  MSS provides a core DODD system to integrate other Department applications and improve data flow, integrity, and streamline the payment authorization process.


The MSS Process is comprised of the following steps

  1. Project Costs,
  2. Finalize Costs,
  3. Authorize Costs,
  4. Recommend authorization of payment in the Payment Authorization for Waiver Services application or PAWS, and
  5. Generate site costs as needed in the Daily Rate Applicaiton. 

Information from MSS is used to populate the enhanced Daily Rate Application or DRA, PAWS and Payment Authorization and indirectly the enhanced Medicaid Billing System or eMBS.

Daily Billing Unit Information

DRA is part of the MSS application. It is a billing tool allowing for the apportionment of homemaker/personal care service costs of Individual Options waiver enrollees living in shared settings.  The enhanced DRA works in conjunction with the Cost Projection Tool or CPT in MSS to calculate the appropriate level of reimbursement associated with homemaker/personal care Daily Billing Units or DBUs.

Daily Billing Unit and Claims Exceeding $403.98

DRA Span Edit and Claims Exceeding $403.98

Service Planning and Sharing Medicaid HCBS Waiver Services

Resources 

MSS FAQ

The New PAWS in MSS - Providers Slides 

Enroll PAWS Plan IO Part 1

Enroll PAWS Plan IO Part 2

LV1 $5000 limit Scenario

LV1 Regular Scenario

LV1 Three Year Period PAWS Scenario

SELF Adult Scenario for Training

SELF Child Scenario

PAWS Three Year Period Determination Process and Comparing

The New PAWS System The Basics