Medicaid Reimbursement for IEP Services

IN Medicaid-covered IEP Services

PT/OT

Psychological Services

Speech Therapy & Audiology

IEP-required R.N. services and

Special Ed Transportation

Just added:

What documentation is required?• Documentation that a direct medical service was provided to an eligible Special Education student e.g., paper or electronic Service Log; Student Record

• Medical Necessity Documentation e.g., physician order; assessments; treatment plan/IHP

• General School Corporation Records e.g., financial; student & staff attendance; licensure

Details online in the Medicaid Billing Tool Kit

Watch for Tool Kit Updates

Required Referral for Medicaid-reimbursed IEP Services

How does reimbursement work?Every Medicaid check = state + federal

funds– At present: each Medicaid payment

includes 75% federal & 25% state dollars– State funds “draw down” additional federal

$– Medicaid-participating school corporations

recover a portion of their costs for providing Medicaid-covered health-related services to students with an Individualized Education Program (IEP)

Medicaid reimbursement example

How Many School Corps Bill?

InFisca

l Year 2009

:

71

In Fiscal Year 2010:

110

http://www.doe.in.gov/exceptional/speced/docs/SchoolCorpMedicaidReport.pdf

Which Corporations Participate?

What resources are available?• The Medicaid Billing Tool Kit & Guide• Presentations, bulletins, reports• Articles, Q&A, Newsletters• Sample Forms• Parent Information Brochure

VISIT:http://www.doe.in.gov/exceptional/speced/medicaid.html

http://www.doe.in.gov/exceptional/speced/medicaid.html

IDOE’s Medicaid Web Page

National Resources on School- based Medicaid Services

http://medicaidforeducation.org/

http://www.theleanet.com/