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Medicaid FAQs

How are students identified for the Medicaid billing process?  The identification process begins with all Medicaid eligible students with special needs. Further identification of this population is generally achieved two ways – through a school referral process and by conducting a data match with the Maryland Department of Health (MDH). The data match can be performed up to four times per year.

How long does it take to complete an IEP Service Coordination claim?  Once you place a student on your caseload, it will take a few minutes to complete the claim.

Can incentive funds be utilized for items in departments or programs other than Special Education? No, incentive funds can only be used for items, and equipment that expand or enhance the services provided to students with special needs. The Federal government initiates audits on how Medicaid funds are utilized; therefore, funds should only be used for Medicaid related expenditures.

How does the Medicaid Office determine the loss of Medicaid funds for each school? The Medicaid reimbursement rate for each IEP Service Coordination claim is $150.00. At least One IEP coordination claim should be completed for each Medicaid-eligible student per month. For example, 10 Medicaid-eligible students x 11 months (Aug-June) = 110 claims. 110 claims x $150 = $16,500 in possible Medicaid revenue.

How does the Medicaid Office track school performance? Once IEP service coordination claims have been processed, each school’s performance is updated to reflect the number of claims submitted for each student per month. The Medicaid Office issues a quarterly “Participation & Loss” report to the CEO, Principal’s and management. However, Principal’s and Coordinator’s can access their school’s performance at any time through the Compuclaim’s “Performance Report.” 

How does the Medicaid Office communicate changes/modifications in the policies or process to special education staff? The Medicaid Liaison’s method of communication of  changes is primarily through email. Additionally, changes are often posted on the Medicaid Office website which has a wealth of information related to our program.