Table of Contents

 

 

Introduction.................. i

History of SSHSP/PSHSP........... i

Basic Requirements for Billing.................. i

Services and Evaluations Covered by SSHSP/PSHSP.................. i

Eligibility and Confidentiality.................. ii

Billing Process.................. ii 

Use of Public Insurance Funds for Students with Disabilities.................. iii 

Medicaid Claiming Process.................. 1

School District and County Responsibilities.................. 1 

Flowchart: Medicaid Claiming Process.................. 3

Processing of a Student’s Medicaid Biographical Data as Reported in the Medicaid Biographical:.................. 4

Non-Match Report, and CIN Transactions Processing......... 4

Adjust/Void Process......... 5

Delete Transaction......... 6

Health Insurance Portability and Accountability Act......... 7

Family Policy Compliance Office Fact Sheet......... 8

Procedures for the Transmission of Student Specific Information......... 9

FAX TRANSMISSIONS 9

E-MAIL TRANSMISSIONS 9

TELEPHONE 9

MAILING OF DISKETTES 9

Hand Delivered Files, Logs, Documentation and Personally Identifiable Information 9

Encryption Information 9

File Transfer Protocol 10

Provider Agreement and Statement of Reassignment......... 10

Consent for Release of Information......... 10

Third Party Health Insurance......... 11

Section 504......... 11

Documentation Requirements Summary......... 12

Services.................. 13

Speech Therapy......... 13

“Under the Direction of” …………………………………………………………………………………… 13

Documentation Requirements for “Under the Direction of”......... 14

Medical Referral for Speech Evaluation......... 15

Practice Guidelines for Providing Direction to TSHH......... 16

Physical Therapy......... 17

Occupational Therapy......... 18

Psychological Counseling......... 19

Skilled Nursing Services......... 20

Evaluations.................. 21

Basic Psychological Evaluation......... 21

Comprehensive Psychological Evaluation (with Social History)......... 22

Medical Evaluation......... 23

Medical Specialist Evaluation......... 24

Audiological Evaluation......... 25

Special Transportation.................. 26

Requirements for Claiming Medicaid Reimbursement for Special Transportation......... 26

Targeted Case Management.................. 27

Reviews......... 27

Initial Review 28

Review a.k.a. Amended/Requested Review 28

Review a.k.a. Annual Review 28

Re-Evaluation a.k.a. Triennial Review 28

Students Transitioning from Preschool to School Age Special Education Programs 29

Ongoing Service Coordination......... 30

Who May Provide Service Coordination 31

Summary of Targeted Case Management Documentation Requirements.................. 31

Sample of Ongoing Service Coordination Case Notes......... 32

Charts.................. 33

SSHSP & PSHSP Monthly Claiming Billing Calendar......... 33

School Supportive Health Services Program (SSHSP) Claiming Fees......... 34

Preschool Supportive Health Services Program (PSHSP) Claiming Fees......... 35

School Supportive Health Services Program (SSHSP) Claiming Frequency......... 36

Preschool Supportive Health Services Program (PSHSP) Claiming Frequency......... 37

Summary of Program Documentation Requirements by Type of Service......... 38

  Appendix A: General Definitions.................. A-1

IEP (Individualized Education Program)......... A-1

IHCP (Individualized Health Care Plan) (Appendix C, Pg.C-19).................. A-1

Referral for Medicaid purposes.................. A-1

Recommendation.................. A-1

Order.................. A-2

Monthly Service Delivery Documentation.................. A-2

Progress Notes.................. A-2

Center Based vs. Individual Based.................. A-3

Medicaid Billable Monthly Related Services.................. A-3

§ 365-a Character and adequacy of assistance....................... A-3-4

Special Transportation:.................. A-5

    Deputy Commissioner Rebecca H. Cort’s 2005 Memorandum-Special Transportation.................. A-5-6

    2002 Memorandum from Robert J. Scalise Coordinator – Medicaid Services Unit.................. A-7-8

 

   Appendix B: Skilled Nursing Services: ………………………………………………………….………………B

 

   Appendix C: Sample Forms: ………………………………………………………………………………………C

 

      Provider Agreement ………………………………………………………………………………………….C-1-2

      Statement of Reassignment ………………………………………………………………………………….C-3-4

            Consent for Release ………………………………………………………………………………………….C-5

            Monthly Service Report Form ………………………………………………………………………………C-7

            Annual Monthly Service Report Form …………………………………………………………………….C-9-10

      Certification of Under the Direction Of …………………………………………………………………..C-11

      Ongoing Service Coordination Notes Documentation …………………………………………………..C-13

            Sample Daily Log ……………………………………………………………………………………………..C-15

            Sample Skills Check List ……………………………………………………………………………………..C-17

      Individualized Health Care Plan (IHCP) ………………………………………………………………….C-19

           

Appendix D: Reports: ………………………………………………………………………………………………….D

 

Appendix E: Error Messages: ………………………………………………………………………………………..E

           

Appendix F: Exceptions to School Districts Claiming Medicaid Reimbursement: ………………………….F

 

Appendix G: Medicaid Contact Staff: ……………………………………………………………………………….G