Participants Aguilar, Phillip Auth · T2021 · FY26
T2021 CLS 1:1 — current plan year A-26-0947

Aguilar, Phillip

0000947344 Program G809 Plan year Feb 26, 2026 → Feb 27, 2027 62 days in · 304 remain
Auth budget
2,880u / yr
@ $12.78/u · $36,806 ceiling
Used · YTD
414u
14.4% · day 62/365
Remaining
2,466u
+25% over ideal pace
Billed · YTD
$5,290
28 visits · Apr pending
Paid · YTD
$4,890
$400 outstanding · 3 batches
+12u over April cap
01

Burndown projection

actual ideal pace projected
Authorized
2,880u
365-day plan year
Used to date
414u
14.4% utilized · day 62/365
Pace variance
+25.4%
vs. straight-line ideal
Projected exhaustion
Dec 8, 2026
81 days early at current pace
2880 2160 1440 720 0 Feb '26 Apr Jun Aug Oct Dec Feb '27 TODAY · APR 29 EXHAUST DEC 8 PLAN END
02

Monthly compliance

cap: 240u/mo (auth ÷ 12)
Month Days delivered Units vs. monthly cap Billed Status
Feb 2026 · partial · day 1–28 1 day 12 u
5% · −228
$153.36
Mar 2026 4 days 106 u
44% · −134
$1,354.68
Apr 2026 · flagged 8 days 252 u
105% · +12
$3,220.56 variance req
May 2026 · future — u
cap 240
not started
YTD · Apr 29 13 days 414 u
14.4% of plan
$5,290.92 2 pending

03Audit trail

Every change to this authorization · newest first
Apr 29, 2026 · 09:14 · system
Cap exceeded · April month
Threshold: 240u/month. Logged: 252u. Variance: +12u ($153.36). Variance form required by Apr 30.
Apr 28 · 17:32 · K. Pō
Visit logged · 36u
Apr 25 visit — pushed Apr month total to 252u (over cap).
Apr 18 · 14:08 · L. Ramon
Claim batch submitted — B-26-0418
4 visits · $1,484.40 · routed to G809
Apr 04 · 10:22 · L. Ramon
Caregiver assignment updated
Added Kalei Pō as backup caregiver (weekend coverage).
Mar 15 · 11:45 · L. Ramon
Claim batch submitted — B-26-0315
4 visits · $1,354.68 · paid Mar 28 (13-day cycle)
Feb 26 · 08:30 · L. Ramon
Authorization issued
From G809 · 2,880 units · 365-day plan year · rate $12.78/u
plan year start
Feb 25 · 14:12 · L. Ramon
Prior auth closed out — H2021 U4
Final used: 2,712u of 2,880u (94%). 168u unused (forfeited).

04Auth packet

From MQD packet received Feb 24, 2026
Service code
T2021
Modifier
Program
G809 · I/DD
Payer
F840
Plan year start
Feb 26, 2026
Plan year end
Feb 27, 2027
Authorized
2,880 u
Rate
$12.78 / u
Daily cap
36 u
Monthly cap
240 u

05Claim batches

3 batches against this auth
Apr batch · pending
B-26-0429 · 4 visits
$1,484.40
draft
Apr 1–18 batch
B-26-0418 · 4 visits
$1,484.40
Mar batch
B-26-0315 · 4 visits
$1,354.68

!Action required

April delivery exceeded the monthly cap by 12u. To prevent denial of the Apr batch, file a variance with G809 before Apr 30, 2026.