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PRESENTED 3/5/14 M.FENWICK SPECIAL EDUCATION MEDICAID INITIATIVE (SEMI)

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Presentation on theme: "PRESENTED 3/5/14 M.FENWICK SPECIAL EDUCATION MEDICAID INITIATIVE (SEMI)"— Presentation transcript:

1 PRESENTED 3/5/14 M.FENWICK SPECIAL EDUCATION MEDICAID INITIATIVE (SEMI)

2 SEMI: OVERVIEW Special Education Medicaid Initiative (SEMI) is a school-based federal program that allows the district to bill Medicaid for services that are provided to eligible students.

3 SEMI: A SCHOOL-BASED INITIATIVE This program is of no cost to parents and does not impact a family's Medicaid services, funds or coverage limits in any way. It is a school-based service initiative.

4 WHY DO WE PARTICIPATE? We are required. Any district over a given number of eligible students are required to participate. Failure to participate can result in loss of funding to districts. It helps bring revenue to the district. When a student with disabilities who qualifies receives eligible services, a portion of those services can be billed which brings money to the district.

5 PARENT CONSENT We participate by first getting Parent Consent and then keeping track and submitting eligible services for reimbursement. There must be one parent consent on file for up to seven years after a student has withdrawn from the district.

6 SAMPLE PARENT CONSENT FORM

7 SCHOOL-BASE SERVICES PROGRAM ACTIVITIES COVERED Evaluations Speech Therapy Occupational Therapy Physical Therapy One IEP Meeting/yr Psychological Counseling Audiology Nursing Specialized Transportation

8 WHAT INFORMATION IS SHARED SEMI Reimbursement In order to submit claims, records may be required that include: First, Middle, & Last Name Address Date of Birth Student ID Medicaid ID Disability Service Dates Types of Services Delivered

9 WHO WILL SEE THIS INFORMATION? Information about your child’s special education program may be shared with NJ Division of Medicaid Assistance & Health Services, Department of the Treasury, PCG, & NJ Department of Education in order to verify the school-based claims for services.

10 PARENT CONSENT Yes If you give a Yes consent: Your child receives IEP services The district is able to bill Medicaid for eligible services No changes occur to your status No If you give a No Consent: Your child receives IEP services The district cannot bill Medicaid for eligible services No changes occur to your status You can withdraw at any time by contacting the district.

11 QUESTIONS? SEMI NJ WEBSITE Our PLPS District website Call or Michelle Fenwick Barbara Fontanazza, SEMI Coordinator Thank you Thank you


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