“MAC”. Medicaid Administrative Claiming. 2009-2010 Train-The-Trainers Workshop. Oregon DHS Support. The Oregon Department of Human Services Medicaid Administrative Claiming Division of Medical Assistance Programs Linda Williams SBHS Medicaid Operations and Policy Analyst (503) 945-6730
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2009-2010 Train-The-Trainers Workshop
The Oregon Department of Human Services
Medicaid Administrative Claiming
Division of Medical Assistance Programs
SBHS Medicaid Operations and Policy Analyst
DHS Contracted SBHS Medicaid Specialist
While schools are legally liable to provide IDEA-related health services at no cost to the eligible students Medicaid reimbursement is available for these services because section 1903 (c) of the ACT requires Medicaid to be primary to the U.S. Department of Education for payment of the health-related services provided under IDEA.
CMS 2003 Administrative Claiming Guide
Federal Government: Center for Medicare and Medicaid Services (CMS)
Oregon Department of Human Services (DHS)MAC Jointly Funded
TSPC “ Services (CMS)ONLY” Licensed School Counselors(NOTE: If in doubt, always be conservative in recording claimable activities. Instead code them A or F.)
Knowledge, Skills and Abilities for Initial School Counselor
1(b) Develop, design, implement, monitor, and evaluate a comprehensive developmental and inclusive school counseling program that integrates Oregon's four developmental domains: academic (learn to learn), personal/social (learn to live), career (learn to work), and community involvement (learn to contribute)
Knowledge, Skills and Abilities for Initial School Psychologist License
2a) Candidates demonstrate skill in assessing or providing for assessments in the following areas: academic knowledge and achievement, intelligence and cognitive functioning, scholastic aptitude, personality, emotional status, social skills and adjustment, adaptive behavior, language and communication skills, sensory and neurological functioning, educational setting, and family/environmental influences.
(3) Consultation and Collaboration: Candidates have knowledge of behavioral, mental health, collaborative, and/or other consultation models and methods and of their application to particular situations.
(8) Prevention, Crisis Intervention, and Mental Health: Candidates have knowledge of human development and psychopathology and of associated biological, cultural, and social influences on human behavior. Candidates provide or contribute to prevention and intervention programs that promote the mental health and physical well-being of students. Candidates have knowledge of crisis intervention and collaborate with school personnel, parents, and the community in the aftermath of crises.
TSPC “Only” Services (CMS)Licensed School Psychologists
The 2003 CMS Medicaid Administrative Claiming guide indicates the following are covered under code C1: