TN 5 (03-03)

A. Policy

The servicing FO will record all FFS approval and denial data in the paper precedent file and in eRPS for all the organizations which applied for Fee for Service status, using the Fee For Service screen in accordance with MS INTRANETERPS 014.008.

B. Procedure

For each determination:

• Review the eRPS to ensure that it contains all the Social Security Numbers of the beneficiaries' on the list furnished by the organization. If an organization is the payee of record on the MBR/SSR but is not shown as payee on eRPS, add the beneficiary information to eRPS using the online questionnaire process found in MS INTRANETERPS 019.006.

• Inform the appropriate FO personnel of the decision (e.g., OS/MSS makes authorization decision, but CR took application and will send notices), and

• Send a copy of the eRPS Fee For Service screen to your RO payee coordinator - Attn: Programs Section.

NOTE: The eRPS Fee For Service screen will be established by the FO's OS, MSS or assigned personnel. All appropriate fields in this screen must be entered in accordance with MS INTRANETERPS 014.008.

C. References

GN 00506.120A Making the Determination on Fee for Services

GN 00506.400B.2 Organization Remains Qualified

GN 00506.400B.4 Revocation Decision