School Year 2010 – 2011 SBAC RMS Participant Training.

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Presentation transcript:

School Year 2010 – 2011 SBAC RMS Participant Training

Training objectives Provide basic information about Medicaid. Explain the School-Based Administrative Claiming (SBAC) program. Who is your SBAC School District Coordinator Explain why you were selected to participate in the Random Moment Sampling (RMS) process and what that entails.

What is Medicaid? Medicaid provides health care and medical services to several populations including: Pregnant women Low Income Families Individuals and disabilities Elderly citizens

Medicaid in Schools Medicaid reimbursement is collaboratively funded by the state and the federal government. Schools provide an array of services beyond traditional educational services to ensure that students arrive and stay at school healthy and ready to learn. Some school districts employees work with students on a daily basis, which enables them to assist in enrolling eligible students for Medicaid reimbursable services. They also, can provide administrative or medical services that are deemed necessary.

“SBAC” Program WHAT DOES “SBAC” STAND FOR: SCHOOL BASED ADMINISTRATIVE CLAIMING PROGRAM

What is School Based Administrative Claiming (SBAC)? A way for Mississippi school districts to receive federal reimbursement for Medicaid administrative. These services can include: Activities such as outreach to the Medicaid EPSDT (screening) program. Referrals made for health services. Coordination of health services for students. An opportunity for school districts to receive additional revenue with little effort from the involved staff.

The SBAC program reimburses for: Outreach to Medicaid; Assisting with the Medicaid application process; Discussing or planning mental or other health care services for students; Coordinating services with other providers; Planning or developing the school district’s health program; Arranging for special transportation; and Conducting or attending medical/Medicaid training.

SBAC PARTICIPANTS MAY INCLUDE: Administrators Principals Teachers School Counselors Language Speech Pathologist School Nurses Interventionist And many more…

Who is your SBAC School District Coordinator?

Marshall County’s SBAC Coordinator “ ”

Role of SBAC Coordinator Document participant training by designated deadline Remove untrained participants’ by deadline Submit trained employee roster by deadline Track participants’ receipt, and completion of RMS forms during the quarter Verify that at least 85% of districts RMS forms are completed at end of each quarter NOTE: If RMS percentage falls below 85%, the district will not receive reimbursement for that quarter. Submit completed RMS forms by deadline

Who is your second point of contact for the SBAC program for your school district?

Marshall County’s SBAC Business Manager “ ”

Role of SBAC District Business Officer Input all cost data information into the SBAC web- based system quarterly Maintains communication with the SBAC District Coordinator Monitor to ensure cost data is not entered for employees that are 100% federally funded and employees no longer employed in school district. Generate/submit completed district invoices to MDE Verify the final invoice approved by MDE Second point of contact for SBAC questions

Why were you chosen to participate?

SBAC Program The participants are school district employees in which on a regular basis part of their routine job duties provides one or more of the reimbursable activities to children who are Medicaid eligible or potentially Medicaid eligible in your school district. “On a regular basis”- means that staff are expected to perform outreach activities on a normal routine daily basis as part of their job duties.

School District Employee Roster Selected school district employee are placed on a list or (roster). The roster is created and maintained by your school district coordinator. There are (4) SBAC quarters in a school year. Each quarter you have a chance to be selected for a RMS one or more times. Each participant can be randomly selected to provide an accurate representation of how time is spent on all daily activities.

What is a RMS?

What is Random Moment Sampling (RMS)? RMS is a time study method that is approved by Medicaid for use by school districts. It enables districts to determine what percentage of time their employees spend on Medicaid reimbursable activities through a random questionnaire.

What is Random Moment Sampling (RMS)? Each quarter, participants are randomly selected to provide details of what they were doing at a specific moment. It is important that the participant complete the needed documentation in a timely fashion. When completing the RMS form, it does not matter whether the student is Medicaid eligible or not.

Now that I have been chosen, what must I do???

What does the RMS Participant have to do? Complete the Training Module and the True/False Quiz Employee has to score at least 80% or above on test. Employee can re-take test if they fail.

Training New Employees The training process will be initiated by (COORDINATOR), the SBAC Coordinator once the employee is added to the SBAC Roster The employee will receive an sender: subject: SBAC – Employee Training The above link will be sent to each potential RMS participant indicating they are required to be trained prior to any involvement in the RMS process

Training Verification Page Please verify the following information Training Started and Training Complete status will change as the SBAC District employee complete the training

Select the “View Training Material” button and it will take school district employee to “RMS Participant Training Module” Select the “Fill Out Question” button and this will take you to 10 question True/False quiz Training Verification Page

You are now officially a SBAC RMS Participant Congratulations What next??

How do I fill out the form? You will receive a computer-generated RMS form if you are selected SBAC – RMS Completion

RMS Forms You may or may not be selected each quarter. Sometimes, you will be selected more than once in a quarter. If you receive more than one in that quarter make sure you complete all samples. Never ignore an from Do not delete this !!! It is not SPAM.

RMS Notification The format is as follows: Dear Sampled Participant, This is an to inform you that you have been chosen to complete a Random Moment Study (RMS). Please use the link below AFTER your RMS time has passed. Your RMS TIME is: 5/14/2010 3:07:00 PM. PLEASE NOTE: 1. The RMS should be completed at the appointed time. 2. The RMS cannot be completed before the appointed date Days after the appointed time, the RMS cannot be completed. Link: With Regards, SBAC Administratorhttp:// SBAC School District Employees will receive the following This link will take you to a “RMS Verification” screen The SBAC system will generate notifications for selected participants three (3) days prior their scheduled RMS survey and it has to be completed within 5 days of receipt

How to complete the RMS survey Displays your name School District Job Title Verify the listed information

How do I fill out the form? If and only if applies, please type or write in a description of what you were doing in no more than one or two sentences. Be honest Concise, yet specific Click the “submit” button to sign and date the form. By submitting the form you are verifying that the activity you selected correctly identifies what you were doing during your sample moment.

Talking with a student or parent/guardian about Medicaid services. Assisting a student or parent/guardian with the Medicaid application process Arranging for special transportation for a student to a Medicaid service. Conducting or attending medical/Medicaid training. Examples of Activities

Recap 1)COORDINATOR is your SBAC School District Coordinator. She will create and add employees to your school district’s SBAC roster on a quarterly basis. The roster will contain your address and job titles. 2)If you are a new participant, you will receive an from the SBAC system informing you to complete training before participating in the SBAC program. 3)Once you have completed training, this enables you to be randomly selected to receive one or more RMS surveys each quarter.

Recap 4)If you are chosen for a RMS, you will receive an notification 3 days prior to the actual moment. This will notify the employee they have been selected for a time study. 5)You will ONLY have 5 days to complete the time study from the time you were selected. 6)If you FAIL to complete the time study, you may decrease your school district’s reimbursement.

Important Points to Remember If your name, school or job title is listed incorrectly, please contact COORDINATOR, before completing the training and time study. If you cannot access the training or RMS link from your notification, try cutting and pasting it into your web browser. You may be selected multiple times in a quarter to complete a time study. (Always check the date and time of your RMS)

Thank you for your cooperation with the SBAC program. Your efforts will make the program a success!

Contact Information SCHOOL DISTRICT SBAC SCHOOL DISTRICT COORDINATOR COORDINATOR NAME ADDRESS PHONE NUMBER BUSINESS MANAGER ADDRESS PHONE NUMBER MISSISSIPPI DEPARTMENT OF EDUCATION OFFICE OF HEALTHY SCHOOLS Donna White, MDE SBAC Specialist Kegila Lyles, MDE SBAC Specialist

QUESTIONS