Special Education Data Reporting Overview. Cost Based Reimbursement Methodology for School-Based Health Services
|
|
- Blaze Walker
- 6 years ago
- Views:
Transcription
1 Special Education Data Reporting Overview Cost Based Reimbursement Methodology for School-Based Health Services May 2011
2 May 2011 Page 2 Agenda Overview of Cost Settlement Methodology Special Education Data Reporting Requirements Special Education Medicaid Eligibility Ratio Specialized Vehicle Ratio Specialized Transportation Trip Ratio Next Steps
3 May 2011 Page 3 Overview of Cost Settlement Methodology Federal Medicaid (CMS) requires that States demonstrate that rates paid for school-based services are no higher than the actual cost of providing medical services. In order to comply with this requirement, AHCCCS will implement a Medicaid cost reconciliation and settlement process effective for SFY So what does that mean for LEAs? LEAs will go through an annual cost settlement process which will require the submission of a Medicaid cost report. Actual costs of providing Medicaid-covered health related services will be compared to Medicaid reimbursement received. If costs exceed reimbursement received, LEA will receive a settlement. If costs are less than reimbursement received, LEA will payback the difference.
4 May 2011 Page 4 Overview of Cost Settlement Methodology
5 May 2011 Page 5 Special Education Data Reporting Requirements There are a number of factors that are used to determine what portion of LEA costs are allocable to Medicaid. These factors will be calculated annually and will require data inputs from LEAs, PCG, and ADE. Special Education Medicaid Eligibility Ratio Used to allocate direct medical service costs to the Medicaid program. Specialized Vehicle Ratio Used to allocate general transportation costs when specialized transportation costs cannot be discretely identified by LEA financial staff (for example, fuel costs). Specialized Transportation Trip Ratio Used to allocate specialized transportation service costs to the Medicaid program.
6 May 2011 Page 6 Special Education Medicaid Eligibility Ratio The Special Education Medicaid Eligibility Ratio represents the number of special education students with related services who are Medicaid eligible. Total Medicaid Special Education Students with a Related Service Total Special Education Students with a Related Service LEA will be required to submit a data file of all special education students on December 1 st who have at least one reimbursable related medical service prescribed on their IEP. Reimbursable medical service are only those that are covered with the Direct Service Claiming Program, which includes: Speech, Physical Therapy, Occupational Therapy, Audiology Services, Nursing Services, Behavioral Health Service, Personal Care Services.
7 May 2011 Page 7 Special Education Medicaid Eligibility Ratio If a child receives more than one direct medical service, such as speech and OT, the child should only be listed once within the file. PCG will perform a Medicaid eligibility matching process to determine the # of children with Medicaid eligibility (numerator of the ratio). Both the numerator and denominator will be pre-populated in the Medicaid cost report by PCG. PCG will provide a required template that each LEA will have to follow to facilitate the matching process. This process will build upon the current matching process PCG performs annually on behalf of LEAs. Preliminary required fields will include: Name, date of birth, gender, and identification of related medical services within the IEP. PCG will provide additional information on this reporting process in the future.
8 May 2011 Page 8 Specialized Vehicle Ratio Total Number of Specialized Vehicles Total Number of Vehicles A specialized vehicle is defined as a special needs school bus that is designed to transport disabled passengers and is constructed with a special-service entrance. The vehicles reported in the numerator should be those that solely transport special educations students (per Medicaid billing requirements) and should NOT include vehicles that transport both special education and general education students. LEA will report these two vehicle counts (total vehicles and total specialized vehicles) on the annual Medicaid cost report.
9 May 2011 Page 9 Specialized Transportation Trip Ratio Total Paid 1-Way Trips Provided to Medicaid Eligible SpEd Students Total 1-Way Trips Provided to SpEd Students Riding Specialized Vehicles LEAs will report the total number of one-way trips provided for all special education students requiring specialized transportation services during the cost reporting period. Trip count includes all trips for students riding specialized vehicles for the fiscal year. Special education students riding on buses transporting general education students should not be included in this count. LEA will report this count on the annual Medicaid cost report. Medicaid count of trips will be calculated by PCG based on claims data (numerator). Bus logs must be kept and stored by LEAs in order to support reported number of one-way trips, in the event of an audit /review.
10 May 2011 Page 10 Next Steps Review special education reporting system to determine how student file can be provided for special education students with reimbursable direct medical related services. AHCCCS and PCG to provide additional details on IEP ratio file requirements, including file content and due date. Examine process used for logging student transportation trips in order to accurately report specialized transportation trip count.
Medicaid and Special Education Transportation Services
1 Medicaid and Special Education Transportation Services Mary Hall Department of Education Ashley Barton Dept. of Medical Assistance Services 2 Overview Medicaid and FAMIS Covered Services Provider Requirements
More informationPCG Medicaid School-Based Services (SBS) Programmatic Updates
PCG Medicaid School-Based Services (SBS) Programmatic Updates Wisconsin Association of School Business Officials (WASBO) March 11, 2015 www.publicconsultinggroup.com Agenda School Based Medicaid in Wisconsin
More informationPublicConsultingGroup.com. August 25 th, 2008
PublicConsultingGroup.com New Jersey SEMI/A-5 Regulations August 25 th, 2008 Agenda SEMI Program Overview Introduction Reimbursable Services District Reimbursement Compliance Revenue Projections A-5 Regulations
More informationMedicaid Eligibility Report. January 10, 2017
Medicaid Eligibility Report January 10, 2017 Presenters Aaron Riley Coordinator Office of Data Management and Analysis ariley@k12.wv.us Terry Riley Coordinator Office of Special Education tjriley@k12.wv.us
More informationSchool Health and Related Services (SHARS) - Cost Report and Audit Advice. Presented by HHSC Rate Analysis and the Texas Education Agency
School Health and Related Services (SHARS) - Cost Report and Audit Advice Presented by HHSC Rate Analysis and the Texas Education Agency Agenda SHARS Overview Audits Federal Audits State Audits Cost Reporting
More informationChanges in the School Based Access Program (SBAP)
Pennsylvania Association of School Business Officials Changes in the School Based Access Program (SBAP) April 23, 2013 Webcast (9:30-11:00 AM) Listen to audio over your computer speakers (If you prefer
More informationSpecial Education Medicaid Initiative (SEMI) for Service Providers
Special Education Medicaid Initiative (SEMI) for Service Providers Audience: District and/or contracted direct service providers Prerequisites: Be able to identify your district SEMI Coordinator Today
More informationAUDITS & REVIEWS OF SCHOOL BASED SERVICES T I M K U B U K A B E E R S I N G H
AUDITS & REVIEWS OF SCHOOL BASED SERVICES T I M K U B U K A B E E R S I N G H INTRODUCTIONS Tim Kubu, Manager MDHHS Bureau of Audit, Audit Division, Audit & Review Section 13 Years with State of MI Kabeer
More informationMedicaid Billing Changes. Background Information. Summary of Changes 7/1/2015
Medicaid Billing Changes Presented by: Amy Willard, CPA, MPA Executive Director - School Finance awillard@k12.wv.us 304-558-6300 Background Information The changes to the School-Based Health Services (SBHS)
More informationLouisiana Department of Education. High Cost Services Allocation School Year John White State Superintendent of Education
Louisiana Department of Education High Cost Services Allocation School Year 2017-2018 John White State Superintendent of Education Introduction The Louisiana Department of Education (LDE) has established
More informationMedicaid Update July 12, 2016
Medicaid Update July 12, 2016 Quarterly Cost Report (April June 2016 Quarter) The Medicaid Quarterly Cost Report for the April June 2016 quarter are due on August 14, 2016. Annual Cost Report Status FY15
More informationMedicaid School Based Services Update
Medicaid School Based Services Update MAASE October 15, 2008 Presenters: Thomas Koepke Director, Special Education Management Services, Macomb ISD Jane Reagan Department Specialist, Medicaid, OSE-EIS,
More informationAZ RMTS Staff Pool List Guide
AZ RMTS Staff Pool List Guide Revised 09/2011 Page 1 Accessing the RMTS System The web address for accessing the system is: https://easyrmts.pcgus.com/rmtsv2 Please use your PCG assigned User Name and
More informationSection. 42School Health and Related Services (SHARS)
Section School Health and Related Services (SHARS).1 Overview....................................................... -3.2 Enrollment...................................................... -3.2.1 SHARS Enrollment...........................................
More informationMeasures Reporting for Eligible Hospitals
Meaningful Use White Paper Series Paper no. 5b: Measures Reporting for Eligible Hospitals Published September 5, 2010 Measures Reporting for Eligible Hospitals The fourth paper in this series reviewed
More informationSped Finance will pull reports and review Revised District must scan and to
Sped Finance will pull reports and review Revised 9-23-16 District must scan and email to christina.foley@arkansas.gov Name of District/Entity: Date of Site Visit: LEA # District Code #: Reviewer: IDEA
More informationSchool Health Services Local Services Plan Guidelines
The State of Colorado Department of Health Care Policy & Financing and Department of Education 2016-2021 School Health Services Local Services Plan Guidelines SUBMIT FORMS VIA EMAIL TO: Jill Mathews Mathews_j@cde.state.co.us
More informationSection. 42School Health and Related Services (SHARS)
Section 42School Health and Related Services (SHARS) 42 42.1 Overview....................................................... 42-2 42.2 School Enrollment................................................
More informationState FY2013 Hospital Pay-for-Performance (P4P) Guide
State FY2013 Hospital Pay-for-Performance (P4P) Guide Table of Contents 1. Overview...2 2. Measures...2 3. SFY 2013 Timeline...2 4. Methodology...2 5. Data submission and validation...2 6. Communication,
More informationWIMCR and CCS FAQ Categories
WIMCR and CCS FAQ Categories WIMCR and CCS General Information and Resources... 1 WIMCR and CCS County Agency Overview... 1 WIMCR Direct Service Checklist... 2 WIMCR and CCS Direct Service and Support...
More informationLegislative Report TRANSFORMATION AND REORGANIZATION OF NORTH CAROLINA MEDICAID AND NC HEALTH CHOICE PROGRAMS SESSION LAW
Legislative Report TRANSFORMATION AND REORGANIZATION OF NORTH CAROLINA MEDICAID AND NC HEALTH CHOICE PROGRAMS SESSION LAW 2016-121 State of North Carolina Department of Health and Human Services Division
More informationIndiana Hospital Assessment Fee -- DRAFT
Indiana Hospital Assessment Fee -- DRAFT September 27, 2011 Inpatient Fee The initial Indiana Inpatient Hospital Fee applies to inpatient days from each hospital's most recent FYE as taken from the cost
More informationKANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Local Education Agency
Fee-for-Service Provider Manual Local Education Agency Updated 07.2018 Introduction PART II Section Page 7000 Local Education Agency Billing Instructions............ 7-1 7010 Local Education Agency Billing
More informationMedicare Home Health Prospective Payment System
Medicare Home Health Prospective Payment System Payment Rule Brief Final Rule Program Year: CY 2013 Overview On November 8, 2012, the Centers for Medicare and Medicaid Services (CMS) officially released
More informationStage 1 Meaningful Use Objectives and Measures
Stage 1 Meaningful Use Objectives and Measures Author: Mia Evans About Technosoft Solutions: Technosoft Solutions is a healthcare technology consulting, dedicated to providing software development services
More informationEPSDT HEALTH AND IDEA RELATED SERVICES
EPSDT HEALTH AND IDEA RELATED SERVICES Chapter Twenty of the Medicaid Services Manual Issued March 01, 2013 State of Louisiana Bureau of Health Services Financing LOUISIANA MEDICAID PROGRAM ISSUED: 08/18/17
More informationPART 2: PROGRAM GUIDELINES AND USE OF FUNDS ERRATA #1. Errata # Special Education Consolidated Grant Application
Errata #1 2011-2012 Special Education Consolidated Grant Application SAS# SPEDAA12 Posted June 28, 2011 Revision to Part 2: Program Guidelines and Use of Funds Page 26 of 94, Budget Requirements section,
More informationLast Name: First Name: Initial: Street Address: City/State/Zip: Main Phone: Alternate Phone: Date of Birth (month/day/year): Name: Relationship:
Request for Certification of ADA Paratransit Eligibility The information obtained in this certification process will only be used by the South Bend Public Transportation Corporation (Transpo) for the provision
More informationDepartment of Assistive and Rehabilitative Services Early Childhood Intervention Services Medicaid Billing Guidelines Effective: October 1, 2011
Department of Assistive and Rehabilitative Services Early Childhood Intervention Services Medicaid Billing Guidelines Effective: October 1, 2011 The purpose of this guide is to provide Early Childhood
More informationBetter Health Care for all Floridians. July 13, 2012
RICK SCOTT GOVERNOR Better Health Care for all Floridians ELIZABETH DUDEK SECRETARY July 13, 2012 Prospective Vendor: Subject: Solicitation Number: AHCA ITN 004-12/13 Title: Statewide Medicaid Managed
More informationQUALITY ASSURANCE. Presented by Oakland Schools
QUALITY ASSURANCE Presented by Oakland Schools Quality Assurance Standards required by MDHHS 1) Covered services are medically necessary, as determined and documented through appropriate and objective
More informationFinal Rule Summary. Medicare Skilled Nursing Facility Prospective Payment System Fiscal Year 2017
Final Rule Summary Medicare Skilled Nursing Facility Prospective Payment System Fiscal Year 2017 August 2016 Table of Contents Overview and Resources... 2 Skilled Nursing Facility (SNF) Payment Rates...
More informationMeaningful Use: Review of Changes to Objectives and Measures in Final Rule
Meaningful Use: Review of Changes to Objectives and Measures in Final Rule The proposed rule on meaningful use established 27 objectives that participants would meet in stage 1 of the program. The final
More informationHospital Rate Setting Rate Year 2016
Hospital Rate Setting Rate Year 2016 Division of Health Care Access and Accountability Bureau of Fiscal Management March 31, 2015 1 Agenda 1. Introduction and Welcome 2. SFY 2015 Q2 Financial Dashboard
More informationTime and Effort Reporting Frequently Asked Questions
Time and Effort Reporting Frequently Asked Questions These frequently asked questions (FAQs) are intended to be used in conjunction with OSPI s Time and Effort Bulletin 051-11. It is located on the OSPI
More informationMeasures Reporting for Eligible Providers
Meaningful Use White Paper Series Paper no. 5a: Measures Reporting for Eligible Providers Published September 4, 2010 Measures Reporting for Eligible Providers The fourth paper in this series reviewed
More informationREMOVE II Public Transportation Subsidy and Park-and-Ride Lot Component GUIDELINES, POLICIES, AND PROCEDURES GUIDELINES, POLICIES, AND PROCEDURES
REMOVE II Public Transportation Subsidy and Park-and-Ride Lot Component GUIDELINES, POLICIES, AND PROCEDURES GUIDELINES, POLICIES, AND PROCEDURES SECTION I INTRODUCTION The San Joaquin Valley Air Pollution
More informationFebruary 2004 Report No
February 2004 Report No. 04-16 Maximizing Federal Revenue Could Help Offset Costly Services for Children with Disabilities at a glance In Florida, children with disabilities receive medical and social
More informationLOUISIANA MEDICAID PROGRAM ISSUED: 11/30/12 REPLACED: 07/01/11 CHAPTER 25: HOSPITAL SERVICES SECTION 25.7: REIMBURSEMENT PAGE(S) 17 REIMBURSEMENT
REIMBURSEMENT This chapter is an overview of inpatient reimbursement methodology and does not address all issues or questions that a hospital may have regarding reimbursement. If a provider has a question
More informationBILLING PROCEDURES FOR EPSDT SCHOOL HEALTH RELATED SERVICES AND
BILLING PROCEDURES FOR EPSDT SCHOOL HEALTH RELATED SERVICES AND HEALTH RELATED EARLY INTERVENTION SERVICES (COMAR 10.09.50) (INCLUDING SERVICE COORDINATION(10.09.52) AND TRANSPORTATION SERVICES(10.09.25)
More informationUniversity of Louisiana System
Policy Number: IA-V.(2a) University of Louisiana System Title: ATHLETIC TRAVEL POLICY Effective Date: April 23, 2015 Cancellation: July 27, 2012 Chapter: Intercollegiate Athletics Policy and Procedures
More informationHITECH* Update Meaningful Use Regulations Eligible Professionals
HITECH* Update Meaningful Use Regulations Eligible Professionals October 2010 * Health Information Technology for Economic and Clinical Health, a component of the ARRA of 2009 McDowell Lecture December
More informationDEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 069 LONG TERM CARE ASSESSMENT
411-069-0000 Definitions DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 069 LONG TERM CARE ASSESSMENT Unless the context indicates otherwise,
More informationPUBLIC TRANSPORTATION & COMMUTER VANPOOL PASSENGER SUBSIDY COMPONENT REMOVE II PROGRAM GUIDELINES, POLICIES, AND PROCEDURES
PUBLIC TRANSPORTATION & COMMUTER VANPOOL PASSENGER SUBSIDY COMPONENT REMOVE II PROGRAM GUIDELINES, POLICIES, AND PROCEDURES SECTION I INTRODUCTION T he San Joaquin Valley Air Pollution Control District
More informationPerformance Standard Procedures Person(s) Responsible (a)
1310.10(a) 1) to and from center-based programs AA, ED is provided through contracted services with local providers. 2) Bussing is made available to all children enrolled in center-based classrooms, within
More informationCh. 425 SHARED-RIDE TRANSPORTATION 67 ARTICLE II. MASS TRANSIT
Ch. 425 SHARED-RIDE TRANSPORTATION 67 ARTICLE II. MASS TRANSIT Chap. Sec. 425. SHARED-RIDE TRANSPORTATION SERVICE REIMBURSEMENT... 425.1 427. PUBLIC TRANSPORTATION SUSTAINABLE MOBILITY... 427.1 CHAPTER
More informationMidway City Council 11 July 2018 Regular Meeting. Financial Advisory Services / Award Contract
Midway City Council 11 July 2018 Regular Meeting Financial Advisory Services / Award Contract REQUEST FOR PROPOSALS FINANCIAL ADVISORY SERVICES NOTICE IS HEREBY GIVEN, that Midway City is requesting proposals
More informationMedicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals. August 11, 2010
Medicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals August 11, 2010 Today s Session This training will cover the following topics: EHR Incentive Programs a Background Who Is
More informationMassHealth School-Based Medicaid Program: School Year Back to School Training
MassHealth School-Based Medicaid Program: School Year 2018-2019 Back to School Training Executive Office of Health and Human Services September 2018 Final Version for Distribution Welcome! 2 SBMP 101 Introduction
More informationTips for Entering Match into GEARS
Tips for Entering Match into GEARS You can access the Match screens either along the left hand side of the Home page of GEARS or along the top. Website: https://praed.net/mtgearup. What follows is a description
More informationImproving Mental Health Services in Schools
House Select Committee on School Safety Student Health Working Group Improving Mental Health Services in Schools Mark T. Benton Department of Health and Human Services April 9, 2018 Unrecognized and untreated,
More informationJon Peterson Special Needs Scholarship Program (JPSNSP)
Jon Peterson Special Needs Scholarship Program (JPSNSP) Creation of the JPSNSP JPSNSP In the beginning..the Autism Scholarship Program (ASP) Multiple attempts to pass legislation Included as part of Am.
More informationEmerging Healthcare Issues:
Emerging Healthcare Issues: How Will They Impact Hospital Reimbursement? Part 1 Lori Laubach, Partner Sharon Hartzel, Director Moss Adams LLP June 19, 2013 1 The material appearing in this presentation
More informationMedicaid Hospital Incentive Payments Calculations
Medicaid Hospital Incentive Payments Calculations Note: This guidance is intended to assist hospitals and others in understanding Medicaid hospital incentive payment calculations. However, all hospitals
More informationMedicaid Hospital Rate Advisory Group
Medicaid Hospital Rate Advisory Group Wisconsin Department of Health Services Division of Health Care Access and Accountability Bureau of Fiscal Management October 16, 2012 1 Agenda 1. Introduction and
More informationQuality Management Report 2018 Q1
Quality Management Report 2018 Q1 Care Wisconsin Participates in Many Quality Initiatives Across the State and Federal Levels These activities include: Centers for Medicare & Medicaid Services (CMS) Department
More informationEligible Professionals (EP) Meaningful Use Final Objectives and Measures for Stage 1, 2011
Eligible Professionals (EP) Meaningful Use Final Objectives and Measures for Stage 1, 2011 1 On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into
More informationMedicare & Medicaid EHR Incentive Programs
Medicare & Medicaid EHR Incentive Programs Southwest Regional Health Care Compliance Association Conference February 18, 2011 Travis Broome, Special Assistant for Quality Improvement and Survey & Certification
More informationHIE Implications in Meaningful Use Stage 1 Requirements
HIE Implications in Meaningful Use Stage 1 Requirements HIMSS 2010-2011 Health Information Exchange Committee November 2010 The inclusion of an organization name, product or service in this publication
More informationDRAFT Complex and Chronic Care Improvement Program Template. (Not approved by CMS subject to continuing review process)
DRAFT Complex and Chronic Care Improvement Program Template Performance Year 2017 (Not approved by CMS subject to continuing review process) 1 Page A. Introduction The Complex and Chronic Care Improvement
More informationTITLE PAGE FLORIDA DEPARTMENT OF HEALTH DOH REQUEST FOR PROPOSALS (RFP) FOR Local Early Steps Program Offices
TITLE PAGE FLORIDA DEPARTMENT OF HEALTH DOH 16-028 10-2016 REQUEST FOR PROPOSALS (RFP) FOR Local Early Steps Program Offices Respondent Name: Respondent Mailing Address: City, State, Zip: Telephone: (
More informationChief School Administrators. Dale M. Dennis, Deputy Commissioner Division of Fiscal and Administrative Services
TO: FROM: Chief School Administrators Dale M. Dennis, Deputy Commissioner Division of Fiscal and Administrative Services Craig Neuenswander, Director School Finance SUBJECT: Special Education Transportation
More informationThe Medicaid-Education Connection
The Medicaid-Education Connection Medicaid EPSDT BHRS Wraparound IDEA IDEIA School-Based Mental Health Services This presentation provides an in-depth understanding of the Early and Periodic, Screening,
More informationCLIENT APPLICATION FORM
CLIENT APPLICATION FORM ACCESS-A-Ride Lethbridge Transit 619 4 th Avenue North Lethbridge, AB T1H 0K4 Phone 403-329-6464 Fax 403-320-3847 AAR@lethbridge.ca ACCESS-A-Ride is a specialized Lethbridge Transit
More informationIllinois Department of Public Health Critical Access Hospital Program Certification Process Preparation
Illinois Department of Public Health Critical Access Hospital Program Certification Process Preparation Overview of the process The Critical Access Hospital (CAH) program is an opportunity for rural hospitals
More informationConnecticut interchange MMIS
Connecticut interchange MMIS Provider Manual Chapter 7 Hospice August 10, 2009 Connecticut Department of Social Services (DSS) 55 Farmington Ave Hartford, CT 06105 DXC Technology 195 Scott Swamp Road Farmington,
More informationGrants and Per Capita Funding
HHS Joint Appropriations Subcommittee Implications of Possible Medicaid Block Grants and Per Capita Funding Steve Owen, Fiscal Research Division March 15, 2017 Presentation Objectives Federal Legislation
More informationUpdates: BHCS Mental Health Contracting for FY Frequently Asked Questions Last Update: 4/6/17
Updates: BHCS Mental Health Contracting for FY 17-18 Frequently Asked Questions Last Update: 4/6/17 Purpose: It is the charge of BHCS and other public agencies to be prudent purchasers of high quality
More informationAPPLICATION FOR ACCESSIBLE TRANSPORTATION SERVICES
Accessible Transportation Services 2200 Upper James Street P.O. Box 340 Phone: 905.529.1212 Fax: 905.679.7305 E-mail: ats@hamilton.ca Website: www.hamilton.ca/ats APPLICATION FOR ACCESSIBLE TRANSPORTATION
More informationNon-Emergency Medical Transportation
HOW TO REQUEST Non-Emergency Medical Transportation This a guide on how to use the transportation benefits offered by the HUSKY Health Program Table of Contents Important Resources 3 What Is NEMT? 3 Who
More informationAdministrators, Community Mental Health Centers and Clinics, Other Interested Parties
Date: September 11, 2017 To: From: Administrators, Community Mental Health Centers and Clinics, Other Interested Parties Keisha Shaw, Grant Manager Primary Care and Financial Assistance Programs Office
More informationQuality Data Model December 2012
Quality Data Model December 2012 Chris Millet, MS Senior Project Manager, Health IT Juliet Rubini, RN-BC, MSN, MSIS Senior Project Manager, Health IT Agenda 12:00 pm Welcome and Introductions 12:05 pm
More informationIllinois Department of Public Aid ILLINOIS GUIDE FOR SCHOOL-BASED HEALTH SERVICES ADMINISTRATIVE CLAIMING
Illinois Department of Public Aid ILLINOIS GUIDE FOR SCHOOL-BASED HEALTH SERVICES ADMINISTRATIVE CLAIMING For Local Education Agencies Participating in the Medicaid School-Based Health Services (SBHS)
More informationTENNESSEE PRIMARY CARE ASSOCIATION MEDICAID PROSPECTIVE PAYMENT SYSTEM AND SCOPE CHANGE METHODOLOGIES
TENNESSEE PRIMARY CARE ASSOCIATION MEDICAID PROSPECTIVE PAYMENT SYSTEM AND SCOPE CHANGE METHODOLOGIES PRESENTED BY: BKD, LLP AGENDA Introductions Overview of TN Medicaid Prospective Payment System (PPS)
More informationJune 18, 2009 Page 1
Base Year Current LOC base rates calculated using: Wyoming Medicaid inpatient hospital claims data from July 1, 1994 through December 31, 1996 Most recently audited Medicare cost report with provider fiscal
More informationProvider Information Texas Health Steps Requirements
Provider Information Texas Health Steps Requirements 2016 THSteps Background Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Federally mandated health care program of prevention, diagnosis
More informationMedicaid Electronic Health Records Meaningful Use. Lisa Reuland, Program Manager October 15, 2015
Medicaid Electronic Health Records Meaningful Use Lisa Reuland, Program Manager October 15, 2015 1 Agenda Medicaid Overview Stage 1: Meaningful Use Stage 2: Meaningful Use CQM Reporting Stage 3: Meaningful
More informationCHAPTER House Bill No. 5201
CHAPTER 2014-57 House Bill No. 5201 An act relating to Medicaid; amending s. 395.602, F.S.; revising the term rural hospital ; amending s. 409.909, F.S.; providing a reconciliation process for the Statewide
More informationNEW MEXICO DEPARTMENT OF HEALTH DEVELOPMENTAL DISABILITIES SUPPORTS DIVISION MEDICALLY FRAGILE WAIVER (MFW)
NEW MEXICO DEPARTMENT OF HEALTH DEVELOPMENTAL DISABILITIES SUPPORTS DIVISION MEDICALLY FRAGILE WAIVER (MFW) CASE MANAGEMENT Effective January 1, 2011 MFW case management is a collaborative process of assessment,
More informationProvider Contract Payment Redesign: Preparing for the Future with a Focus on Access and Quality
Network Office Changes to BHCS Contracting for FY 2017/18 Provider Contract Payment Redesign: Preparing for the Future with a Focus on Access and Quality February 2017 1 Purpose of Discussion Discuss upcoming
More informationOBSERVATION CARE EVALUATION AND MANAGEMENT CODES POLICY
OBSERVATION CARE EVALUATION AND MANAGEMENT CODES POLICY UnitedHealthcare Oxford Reimbursement Policy Policy Number: ADMINISTRATIVE 232.10 T0 Effective Date: March 1, 2017 Table of Contents Page INSTRUCTIONS
More informationDepartment of Human Services Division of Medical Assistance and Health Services Transportation Broker Services Contract Capitation Rates
New Jersey State Legislature Office of Legislative Services Office of the State Auditor Department of Human Services Division of Medical Assistance and Health Services Transportation Broker Services Contract
More informationDate: September 11, Administrators, Critical Access Dental Clinics, Other Interested Parties
Date: September 11, 2017 To: From: Administrators, Critical Access Dental Clinics, Other Interested Parties Keisha Shaw, Grant Manager Primary Care and Financial Assistance Programs Office of Rural Health
More information2008 Physical, Occupational, and Speech Therapies
2008 Physical, Occupational, and Speech Therapies Presented by New Mexico Medicaid Utilization Review Blue Cross Blue Shield of New Mexico Prior Authorization Requests US Mail P.O. Box 27950 Albuquerque
More informationMedicare Skilled Nursing Facility Prospective Payment System
Final Rule Summary Medicare Skilled Nursing Facility Prospective Payment System Program Year: FY2019 August 2018 1 TABLE OF CONTENTS Overview and Resources... 2 SNF Payment Rates... 2 Wage Index and Labor-Related
More informationPRESCRIBED PEDIATRIC EXTENDED CARE CENTERS CSHCN SERVICES PROGRAM PROVIDER MANUAL
PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS CSHCN SERVICES PROGRAM PROVIDER MANUAL SEPTEMBER 2018 CSHCN PROVIDER PROCEDURES MANUAL SEPTEMBER 2018 PRESCRIBED PEDIATRIC EXTENDED CARE CENTERS Table of Contents
More informationWisconsin Medicaid Hospital Update
Rural Hospital Finance Workshop Division of Health Care Access and Accountability Bureau of Fiscal Management August 26, 2016 1 Agenda 1. SFY 2016 Hospital Medicaid Expenditures 2. 3. APR DRG Training
More informationMeaningful Use and PCC EHR. Tim Proctor Users Conference 2017
Meaningful Use and PCC EHR Tim Proctor (tim@pcc.com) Users Conference 2017 Agenda MU basics and eligibility How to participate in MU What s Next for MU? Meeting MU measures in PCC EHR Takeaways An understanding
More informationPEDIATRIC DAY HEALTH CARE PROVIDER MANUAL
PEDIATRIC DAY HEALTH CARE PROVIDER MANUAL Chapter 45 of the Medicaid Services Manual Issued December 1, 2011 Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable
More informationHow do I know if I am eligible and how do I apply?
If you are unable to travel on the RIPTA fixed route bus service due to a disability, you may be eligible to use the RIde Program, a paratransit bus service. This allows you to schedule the specific bus
More informationFlorida Medicaid. State Mental Health Hospital Services Coverage Policy. Agency for Health Care Administration. January 2018
Florida Medicaid State Mental Health Hospital Services Coverage Policy Agency for Health Care Administration Table of Contents 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority... 1 1.3 Definitions...
More informationMIPS Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017
CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017 2 Review Determine
More informationHow do I know if I am eligible and how do I apply?
If you are unable to travel on the RIPTA fixed route bus service due to a disability, you may be eligible to use the RIde Program, a paratransit bus service. This allows you to schedule the specific bus
More informationNon-Emergency Medical Transportation
Non-Emergency Medical Transportation Last Updated: April 18, 2018 This a guide for healthcare facilities requesting nonemergency medical transportation on behalf of HUSKY Health members in the State of
More informationMedicaid Provider Incentive Program. Meaningful Use for Eligible Professionals Ohio Association of Community Health Centers
Medicaid Provider Incentive Program Meaningful Use for Eligible Professionals Ohio Association of Community Health Centers Presenters Emma Esmont, Management Analyst John Mack, Project Manager Elbony McIntyre,
More informationDOCUMENTATION OF MANAGED SPECIALTY SERVICES AND SUPPORTS WAIVER CAPITATION RATES QUARTERS 1 AND 2 OF STATE FISCAL YEAR 2016
Milliman Client Report DOCUMENTATION OF MANAGED SPECIALTY SERVICES AND SUPPORTS WAIVER CAPITATION RATES QUARTERS 1 AND 2 OF STATE FISCAL YEAR 2016 State of Michigan Department of Health and Human Services
More informationThe Option of Using Certified Public Expenditures as Part of the Medicaid Reimbursement for Florida s Public Hospitals
The Option of Using Certified Public Expenditures as Part of the Medicaid Reimbursement for Florida s Public Hospitals Report to the Florida Legislature January 2013 Executive Summary Federal rules allow
More informationODP Announcement. Guidance: Fiscal Year (FY) ISP Renewal Period. ODP Communication Number
ODP Announcement Guidance: Fiscal Year (FY) 2017 2018 ISP Renewal Period ODP Communication Number 036-17 The mission of the is to support Pennsylvanians with developmental disabilities to achieve greater
More informationPayment of hospital inpatient services. (A) HPP.
ACTION: Final DATE: 01/22/2018 8:09 AM 4123-6-37.1 Payment of hospital inpatient services. (A) HPP. Unless an MCO has negotiated a different payment rate with a hospital pursuant to rule 4123-6-10 of the
More informationCh COUNTY NURSING FACILITY SERVICES CHAPTER COUNTY NURSING FACILITY SERVICES
Ch. 1189 COUNTY NURSING FACILITY SERVICES 55 1189.1 CHAPTER 1189. COUNTY NURSING FACILITY SERVICES Subchap. Sec. A. GENERAL PROVISIONS... 1189.1 B. ALLOWABLE PROGRAM COSTS AND POLICIES... 1189.51 C. COST
More information