This process is a requirement for the FY Cost Report and the Q3 AAC Claim. Please run the following student rosters as of January 5th:
- A roster to include all special education students enrolled in the district as of January 5, along with an indicator for students who receive at least one service that is a Medicaid Covered Service* in their IEP, and another indicator to identify the students for whom the district is seeking reimbursement from the School-Based Medicaid program.** (Seeking reimbursement means that the district has the consent of the parent on or before January 5, in order to submit claims to MassHealth and is actively pursuing all other requirements of the School-Based Medicaid program for the students indicated. For more information regarding the requirements for the SBM program, please contact your EDMS representative). In other words, include two additional columns on the spreadsheet, i.e. Medicaid Covered Service “Y” or “N”, and Consent to Bill, “Y” or “N” (see Exhibit A below).
- A roster to include the entire student body enrolled in the district as of January 5.
Each of these lists should include the students’ first names, last names, dates of birth and gender. These lists should identify 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 ratios and the public school district should not include any such student in their count).
Please provide the following lists as Excel files to the Secure Documents work space in Lumea and then email Sharon to let her know the files are available:
*Medicaid-billable services include PT, OT, Speech, Audiology, Nursing, Personal Care, Psychological, Counseling and Applied Behavior Analysis (“Autism Services”).
**The educational/health-related records of all Medicaid students included in these statistics are subject to audit. School-Based Medicaid Providers must therefore exclude from these statistics any Medicaid recipients for whom they do not seek reimbursement.
Exhibit A (Below is a one line example of what the spreadsheet for the special education student roster could look like with the necessary information):
|Last Name||First Name||Date of Birth||Gender||IEP ordered Medicaid Covered Service?||Pursuing SBM reimbursement & have Parent Consent?|