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Archives for September 2015

September 29, 2015,

October 5th Rosters (Massachusetts)

This is a friendly reminder that October 5th is a very important date for school-based Medicaid and Administrative Activity Claiming. Please send an electronic (MS Excel) version of your entire student body roster as of October 5, 2015 as well as an Excel version of your entire special education roster as of October 5, 2015. Please include students’ last name, first name, date of birth, and gender.

We want to remind you that you can now provide these rosters to us via the Secure Documents area in Lumea. You can access the Secure Documents as an Administrator by clicking in the District Management area and then clicking Secure Documents where you can upload the files. Please email Sharon when you have uploaded the lists.

Per School-Based Claiming Regulations, these requirements are outlined as follows:

Gather quarterly school district enrollment information as of the following dates: January 5th, April 5th, July 5th, and October 5th. This list should include those students who are enrolled in the LEA and those attending out of district schools when the LEA is financially responsible for the student except for regional schools and charter schools. If a student is attending a charter or regional school, only the charter or regional school is eligible to include that student in their Medicaid Eligibility Percentage calculation, and the public school district should not include any such student in their count.

Gather quarterly school district special education enrollment information as of the following dates: January 5th, April 5th, July 5th, and October 5th. This list should include those students who are enrolled in the LEA and those attending out of district schools when the LEA is financially responsible for the student except for regional schools and charter schools. If a student is attending a charter or regional school, only the charter or regional school is eligible to include that student in their Medicaid Transportation calculation and the public school district should not include any such student in their count.

Please submit your rosters to Sharon.

September 24, 2015,

School-Based Medicaid Bulletin 29 (Massachusetts)

As we learned from a recent email from School-Based Medicaid back on August 12, 2015 regarding the Expansion of School-Based Medicaid Program to Include Autism Services, as promised, MassHealth recently published School-Based Medicaid Provider Bulletin 29 with additional information regarding these services that can be claimed for reimbursement when all conditions are met.  Please click here to read further.

September 11, 2015,

ICD-10 Implementation-Action Required (Maine)

The Centers for Medicare & Medicaid Services (CMS) issued a final rule stating that October 1, 2015 will be the official compliance date for ICD-10 implementation.   [Read more…]

September 3, 2015,

Fall Start-up Reminders/Lumea Maintenance (Massachusetts)

School Based Medicaid has implemented several changes that you will want to be aware of and action is required.  Some of these changes may impact your RMTS participant lists which are due tomorrow (Friday, September 4th). Please click here to see a few important reminders for Medicaid billing.

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