TRACKING OF CASES RETURNED TO TRANSFERRING AGENCY

 

DATE

CLIENT NAME/

AGENCY CASE TRANSFERRED FROM

WORKER CASE TRANSFERRED FROM

REASON RETURNED

CODE

COMMENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REASON RETURNED CODES

A= Comprehensive Assessment does not meet minimum standards

B=Service Plan does not meet minimum standards

C=Obvious inconsistency and/or discrepancy in the CA sections or Service Plan

D=Errors in payment authorization and/or authorized services

E=File is incomplete

F=File is improperly formatted