EDMS

Archives for May 2014

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Lumea Audit Features Update (Maine)

The following Lumea Audit features, scheduled to be implemented May 1, 2014, will be available to districts by Friday, May 16, 2014. Thank you for your patience.  Lumea sessions will be audited prior to posting based on the recommendations of MSB and the direction from your school district. These audit features are being implemented to ensure your district is in compliance with MaineCare regulations. Lumea service providers will need to document the following prior to submitting/posting a session (unless your school district has given authorization to not implement these audit features):

  1. Progress towards short and long term goals: All service providers required to document student progress towards short/long term goals in every session will need to do so prior to posting a session. (Speech providers may be exempt dependent on your district’s previous response.)
  2. A description of the service delivered: All service providers will either need to include a narrative for a description of the service within each session or will need to select from a list of activities.

To assist you with these changes, please review this User Guide which will provide clear instructions for your service providers. Please contact your Program Specialist with any questions.

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Medicaid Reimbursements from OOD and Contracted Providers (New Hampshire)

MSB™ is excited to announce two new ways to help Districts maximize Medicaid reimbursements from Out of District Facilities and Contracted Providers. We have
developed an Intake Form, and an Out of District Reviewer role in Lumea™.

The Intake Form is a tool designed to identify vital information regarding any health related, IEP-ordered services when a student is placed out of district to help districts
maximize reimbursement.

Here are key features the Intake Form captures:

1) Student information
2) Health related services ordered in the IEP
3) Frequency of services
4) Intensity of services
5) Signatures of both parties involved

Communication between the district and Out of District facility or contracted provider is the initial step in implementing the Out of District Reviewer role and the Intake Form to help maximize Medicaid reimbursement.

The new Out of District Reviewer role in Lumea will allow district administrators, who have been granted access, to monitor the delivery of IEP-ordered services provided to their students in Out of District facilities that are currently using Lumea.

This role allows districts to identify discrepancies earlier to ensure Out of District and Contracted Providers are logging for those IEP-ordered services for which the district is seeking Medicaid reimbursement.

The Out of District Reviewer role provides accountability regarding students receiving services from Out of District facilities or contracted providers, which has historically been a challenge for NH school districts.
Some of the reports available to the OOD Reviewer:

1) Service Provider Team
2) Scheduled sessions
3) Posted sessions
4) Monthly, weekly, daily, reports regarding session details

We will be reviewing the OOD Reviewer role and the Intake Form in our upcoming Medicaid Connection webinar on May 7th at 1 P.M.  If you have any questions or would like more information regarding registering for the OOD Reviewer Role please contact Jon St. Pierre at 800.618.3111 ext. 128 or jstpierre@eddatasolutions.com.

Notices