Occasionally it is in a child or youth’s best interest not to be moved, but the third-party contractor’s utilization review lowers the authorized service level (ASL) below the lowest billing service level (BSL) in a provider’s contract. The service level program specialist in state office must discuss the situation with the caseworker and determine whether to approve increasing the BSL to a level higher than the ASL.

Examples of when it may be appropriate to increase the BSL include, but are not limited to, the following situations:

• The youth will graduate in 60 days or fewer.
• The youth requires continuity of medical treatment, excluding psychological services, not to exceed 60 days.
• The youth will age out of care in 60 days or fewer.
• The school year will end in 60 days or fewer.