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