EDMS

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      • Section 109 (Speech)
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Maine Forms for Medicaid Billing

We get it. There are lot of forms schools use for billing Medicaid.  We’ve tried to take those forms and organize them below based on whether they are for a student, provider, or need to be done at the start of the school year.  However, if you still don’t see something or have a question please call or email us, we’re happy to help!

Fall Start-up
  • Electronic Signature Verification
  • Fall Start-up Checklist (Lumea Districts)
  • Statement of Reassignment Form
Student Specific Forms
  • One-Time Consent for Release
  • One-Time Consent for Release (Spanish version)
  • GUIDANCE – Consent for Release of Information
  • DOE Annual Notification of Parental Rights Letter
  • EDMS’s DOE Annual Notification of Parental Rights Letter
  • MaineCare Documentation Form – Section 109 (S/L & Hearing), Section 85 (PT), Section 68 (OT)
  • GUIDANCE – MaineCare Documentation Form – Section 109 (S/L & Hearing), Section 85 (PT), Section 68 (OT)
  • Order/Recommendation/Referral Form
Provider Specific Forms
  • Psychological Testing Cover Form
  • Record of Supervision Form – BHP
  • Record of Supervision Form – Speech, OT, PT

Our Services

EDMS™ is dedicated to partnering with your school district to meet the challenges of Medicaid Billing, special education administration and Section 504 management. Our focus is solving problems and providing industry leading solutions.

Contact us to learn more.

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Educational Data Management Solutions