Start renewal · auth MQD-G809-2210
Renewal packet for Eleanor Souza — current authorization expires May 31, 2026 (10 days)
expiring · 10d
SLA · 14 business days at MQD
1
Review usage
2
Service plan
3
Documents
4
Submit
1 · Current period usage
Pulled from KHS — burndown over the current auth window. Indicates whether the new cap should match, increase, or decrease.
T2021 · Day Habilitation · monthly cap 96u
Recommendation: request +8u/mo (new cap 104u) — would have absorbed both variances + projected growth.
2 · Updated service plan
What's changing in the next 12 months? Reviewer needs justification for any change in cap, code mix, or service hours.
3 · Required documents
All required for MQD intake. Missing documents bounce the packet automatically.
4 · Submit packet to MQD
All checks passing. Once submitted you can't edit — MQD assigns a case # for tracking.