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DSS lists common encounter‑form errors and how practices can avoid rejections

Department of Social Services · May 23, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

DSS staff told providers they are monitoring encounter forms monthly and urged correct formatting: match member IDs entered twice, use nine‑digit CMAP/AVRS provider IDs with dashes, and expect outreach from PES when errors are found.

Kim of the provider engagement services (PES) team told attendees DSS is closely monitoring encounter‑form quality and will reach out to practices when errors are detected.

Kim described the most frequent issues: member IDs entered incorrectly or inconsistently (providers must enter the member ID twice and ensure both entries match), AVRS/CMAP provider IDs entered incorrectly, and incorrect formatting. "Make sure they have the correct member ID, and they're submitting it in the 9 digit format with the dashes," Kim said. She added that PES and regional PES representatives will contact practices to encourage corrections.

Kim offered to share slides and a job‑aid so practice staff can avoid repeat errors and noted that forms are reviewed monthly. DSS advised practices to expect outreach from either Kim or their regional PES representative if submission problems are identified.