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 Hearing Screens  Occupational Therapy  Personal Care  Physical Therapy  Speech Language Pathology  Vision Screens  Audiology (fall of 2008) 

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Presentation on theme: " Hearing Screens  Occupational Therapy  Personal Care  Physical Therapy  Speech Language Pathology  Vision Screens  Audiology (fall of 2008) "— Presentation transcript:

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2  Hearing Screens  Occupational Therapy  Personal Care  Physical Therapy  Speech Language Pathology  Vision Screens  Audiology (fall of 2008)  ARMAC

3  Individualized Education Program (IEP) for direct, related service(s) identifying the student need  Consent to release identifiable information  Medical/treatment related documentation and paperwork

4  District must have an NPI number  District must have certified or state licensed staff  District must apply for a Medicaid provider number for each service  Must report NPI number and assign taxonomy code(s) within the Medicaid system

5  PES software  Setup and training required  EDS is contact  Responsible for keying in all student data  Responsible for billing for services  Responsible for running Medicaid eligibility

6  SEAs software (additional software add-on)  Setup and training is required  MITS is contact, Help Desk resource  Electronic record, easily accessible  Student demographic information present from SEAs  Medicaid eligibility ran automatically  Billing done on weekly schedule automatically

7  Parent refuses to allow district to bill for services (education needed re: Medicaid)  Lack of licensed or certified district staff  Billing errors: user and/or EDS system  Lack of documentation  Lack of training  Lack of resources

8  CMS letters notifying districts that their NPI data and IRS data does not match  Requiring all OT/PT/SLP therapists to have a Medicaid number, or a PIN number at the least  Increased rates that have been discussed, but not implemented. Some providers have started charging the new rates.  QSource replacing AFMC

9  Slow Federal legislative movement regarding the elimination of MAC programs (as well as other proposed cuts)  State laws implicating schools and Medicaid

10  Underperforming – Act 1527 (2005) It is the purpose of this requirement to identify the districts in the state that are under utilizing Medicaid funds for related services.  ARKids First Outreach – Act 882 (2005) It is the purpose of this requirement to establish a program to inform students and their parents or guardians about health care coverage under the ARKids First Program.  Vision Screens – Act 1438 (2006) It is the purpose of this requirement to establish eye and vision screenings for students enrolled in pre-k, kindergarten, grade 1,2,4,6, and 8, as well as all transfer students.

11  http://arksped.k12.ar.us/sections/medicaid.html  MITS Help Desk 866-280-8300, option 2  MITS Policy and Programming office 866-280-8300, option 2 501-835-2093 501-833-8412 (Fax) Medicaid In The Schools (MITS) 2402 Wildwood Suite 172 Sherwood, AR 72120


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