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Join the Medicaid School Based Claiming (MSBC) Learning Collaborative Meeting to learn about program administration models, evolving approaches, and the latest updates on accessing Medicaid in a school setting. This meeting will provide valuable insights and practical knowledge for maximizing reimbursement opportunities. Don't miss this opportunity to enhance your understanding of Medicaid claiming in schools and improve the health outcomes of students. June 13-14, 2018.
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Accessing Medicaid in a School setting Healthy Students, Promising Futures Learning Collaborative Meeting June 13-14, 2018 Melinda Hollinshead, PCG John Hill, NAME
AGENDA • Medicaid School Based Claiming (MSBC) • Program Administration Models • Evolving Approaches • Q&A
Medicaid School Based Claiming • Fee For Service/Direct Service Claiming • Medicaid Administrative Claiming • Cost Settlement Methodologies
Fee for Service/Direct Service Claiming Traditional Fee For Service (FFS) Claiming Models • Covered Services • Eligible Providers • Documentation • IEP/IFSP • Clinical Notes
Medicaid Administrative Claiming • Outreach and Administration • RMTS • Cost Reporting • Eligible Costs • Medicaid Eligibility Rate MER
Cost Settlement • Direct Service Claiming • Interim Payments • 1/12 Methodologies • RMTS • Cost Pools • MER • IEP Ratio • Cost Reporting • Settlement
State Centered Models • State Agency Collaboration • Third Party Administrator • Statewide Documentation Systems • IEP Systems • Service Documentation Systems • Billing Systems
District Centered Models • District Level Documentation Systems • Billing Vendors • Independent Documentation Systems
Evolving Approaches • Free Care • Telemedicine • Behavioral Health • Managed Care • School Based Clinics
Contact Information Melinda Hollinshead Senior Advisor Public Consulting Group mhollinshead@pcgus.com
