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Medicaid Reimbursement for Vision and Hearing Screens. Medicaid In The Schools (MITS). January 2008. Getting Started…. Vision Screens- Act 1438 (2006 school year)

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medicaid reimbursement for vision and hearing screens

Medicaid Reimbursement for Vision and Hearing Screens

Medicaid In The Schools

(MITS)

January 2008

getting started
Getting Started…
  • Vision Screens- Act 1438 (2006 school year)

It is the purpose of this requirement to establish eye and vision screenings for students enrolled in pre-k, kindergarten, grade 1, 2, 4, 6, and 8, as well as all transfer students.

  • With the law came the opportunity to bill for the mandated screens, and then some.
what s new
What’s New?
  • Does not require a PCP referral for hearing or vision screens.
  • Screens completed by LPNs can be billed, if supervised by an RN.
  • Can bill for all students that have Medicaid, not just special education students.
reimbursement rates
Reimbursement Rates
  • Vision Screen $14.08
  • Hearing Screen $12.02
getting set up to bill
Getting Set-up to Bill
  • Need provider number for vision/hearing screens
  • Must complete provider enrollment application
  • Submit to MITS when complete
  • Copy with instructions on our website at

http://arksped.k12.ar.us/sections/medicaid.html

billing methodology
Billing Methodology

Two ways to bill for screens and other services:

1. EDS or

2. MITS

eds billing
EDS Billing
  • Requires the user to install software, install an external modem, have a customer service representative to set-up and train the district.
  • Free software, cost per transaction
  • User responsible for data entry, eligibility checks, and billing.
eds contact information
EDS Contact Information
  • Provider Representatives:https://www.medicaid.state.ar.us/InternetSolution/Provider/provreps/provreps.aspx
  • See Vender Booth for more information
mits billing

MITS Billing

Requires an Interagency Agreement with district and MITS;

Requires district to complete a specific file and submit to MITS for effortless eligibility check and electronic billing. Electronic file includes student name, SSN, date of birth, and LEA #;

Fee for service (5 percent change than what the district is currently paying, but without the ease and time savings).

mits contact information

MITS Contact Information

Tony Boaz

tony.boaz@arkansas.gov

Medicaid In The Schools (MITS)

2402 Wildwood, Suite 172

Sherwood, AR 72120

(866) 280-8300, option 1

(Help Desk)

(866) 280-8300, option 2

or (501) 835-2093

(Program and Management Office)

arkansas medicaid resource information
Arkansas Medicaid Resource Information

Arkansas Medicaid

www.medicaid.state.ar.us

(800) 482-8988

ARKids First

www.arkidsfirst.com

(888) 474-8275