Significant changes reflected in the

Medicaid Billing Handbook # 6

Page

Topic

Change

iii

Introduction

Federal Education requirements relating to the use of public insurance funds for students with disabilities.

 

4

Processing of Near Match and Non-Match Reports and CIN Transactions

The final decision to determine if the MA client and the student are the same person lies with the school district/§4201 school/county, not the State.

7

Health Insurance Portability and Accountability Act (HIPAA)

Description

Family Policy Compliance Office Fact Sheet

Procedures for the Transmission of Student Specific Data

8

FERPA

New item

9

Transmission of Student Specific Information

New item

10

Consent for Release of Information

When is parental consent for Medicaid Required?

13-16

Speech Therapy

Rewritten for clarity. Language included from May 23, 2003 and June 16, 2003 Memoranda from Robert Scalise regarding suggested documentation requirements and information regarding Teachers of the Speech and Hearing  Handicapped who are also licensed Speech Language Pathologists.

17

Physical Therapy

Guidance for documenting supervision provided to Physical Therapist Assistants providing services.

18

Occupational Therapy

Guidance for documenting supervision provided to Occupational Therapist Assistants providing services.

22

Medical Evaluation

Schools may no longer bill for IEP sign-off of services.

25

Special Transportation

Revised to reflect July 2005 memorandum from Deputy Commissioner Cort and the 2001 memorandum from Robert Scalise regarding the definition and documentation of  special transportation.

26-27

Targeted Case Management Reviews

Added:  clarification of targeted case management services and students transitioning from preschool to  school age.

32

Claiming Calendar

2005 update.

A

Special Transportation

Deputy Commissioner Rebecca H. Cort’s memorandum regarding documenting Special Transportation on IEP.

D

CNYRIC Reports Available

http://CNYRIC.org

E

Revised Error Messages

CNYRIC reports updated.

F- 2&3

Article 28 Facilities

List of preschool and school age facilities updated.

G

Medicaid Contacts

Monthly Reports/Files will be posted by CNYRIC.

Contact information for RIC and State Medicaid staff updated.

 

Web Reports

Districts & counties will access all reports and files on the web.