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New rule hierarchy where a single Payor may have a different day threshold based on a secondary check of the Service Code
Existing Logic of just a Service Code should remain and will not check the Payor
For Example:
(Regular Payor Rule) 22/1 Oklahoma Waiver = 180
22/1 Oklahoma Waiver -> (T1019TF)Advanced Personal Care = 90 Days
(Regular Payor Rule) 22/4 Oklahoma Waiver (Medically Fragile) = Initial Visit 14 Days and then 180
22/4 Oklahoma Waiver (Medically Fragile) -> (T1019TF)Advanced Personal Care = 60 Days
Supervisory Rules will be updated to allow a Single Service code to have a unique Rule according to the Payor the Authorization is associated too