Data and File Exchange Operations
On a biweekly basis, Community Supports (CS) providers must retrieve their Community Supports Authorization Status File (CSASF) via secure file transfer protocol (sFTP) site that contains “new potential member” that has been identified and assigned to the CS provider for outreach. CS providers will be responsible for collecting information on the member’s qualification and determine if the member truly qualifies for the service. Reference the CS authorization guides to help determine the member’s eligibility for service.
On a minimum of a monthly basis, CS providers must update and report back to Health Net via an sFTP file upload of the Community Supports Provider Return Transmission File (CSPRTF), identifying the services provided and status of each eligible and enrolled CS member. Reporting requirements for CS providers has been defined by Department of Health Care Services (DHCS) guidance.