Massachusetts School-Based Medicaid imposes a strict 90-day claiming deadline, so it is crucial that providers post their sessions weekly. We encourage you to run the Unposted Sessions Summary Report and the Service Provider Records Report for January, 2015 to ensure your practitioners are logging and posting their billable sessions. Utilizing these reports on a monthly basis is another way to help your district maximize direct service claiming.
In addition to running the above referenced reports, we also ask you to review Student Identity Verification on a monthly basis. Any students still listed to be verified (“pending”) will not be processed for Medicaid Reimbursement.
We remind you that Lumea™ is now checking for valid, current provider credentials prior to submitting sessions for reimbursement. You can add or check credentials in Lumea as an Administrator by navigating to User Management, select User Details, then click “edit/view” next to the person you are checking, and then selecting the “Credentials” tab. If you want to run a report to see which providers have credentials in the system and when the credentials expire, Administrators can go to the Caseload Reports menu, select District Reports and select the Service Provider Details report from the list.
If you have any questions regarding utilizing Lumea, please contact Customer Care by phone at (800) 810-4220 or by email at firstname.lastname@example.org.