NAME Advocates Program Integrity For School Based Medicaid Reimbursement.
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NAME National Survey of the States Remains Open Until April 15, 2014
Friday, 14 March 2014 14:02
The NAME 2013 Biennial Survey is underway and in the final month of data collection! The information obtained in this survey of the states’ Medicaid School Based programs, adds to our database from previous surveys, and shows trends over time and across the country. Over the years the report has also assisted states in policy development, Medicaid State Plan amendments, and assessing how their program compares with others. The survey data has also been provided to federal agencies such as OSEP when they finalized the IDEA parental consent regulations. The report is more valuable when all states participate. There are still several states whose Medicaid and Education agency staff have not completed the survey. We strongly encourage you to complete the survey TODAY, or by April 15, at this link: http://research.zarca.com/k/SsUVURsQSXsPsPsP
The NAME National Survey of the States has been simplified considerably from previous versions. The Survey SubCommittee realized they could capture other relevant information and data about Medicaid School Based Services programs from publicly available resources, which decreases the time required for completion.
Below are the questions, and most have a dropdown box allowing you to choose the reply. Seeing these questions in advance will help state Medicaid and Education agency colleagues work together to gather the correct information prior to completing it. Here are the seven questions:
1. Please report the federal reimbursement your state received for IEP health-related direct services and Medicaid Administrative Claiming from October 1, 2010 to September 30, 2011 and October 1, 2011 to September 30, 2012. When responding, please round to the nearest $1,000 and only indicate the federal matching funds received on a cash-basis, not the total claim submitted for reimbursement
2. Which entities are eligible to claim for School-Based MAC (Medicaid Administrative Claiming) reimbursement in your state?
3. Which entities are eligible to claim for Direct Services provided in the schools?
4. Please review the list of potentially reimbursable services (below) and indicate if any services were added, eliminated or changed for billing as an IEP health-related service.
5. What methodology do you use for MAC?
6. What methodology do you use for Direct Service?
7. Do the schools have school based rates or do they use statewide rates?
If you would like to know if your state has completed the survey, please e-mail firstname.lastname@example.org.
We look forward to receiving responses from every state by April 15th.
Bipartisan House Bill Proposes to Fully Fund IDEA
Tuesday, 11 March 2014 10:00
On March 5, 2014, members of both parties introduced a bill in Congress to fully fund IDEA. NAME will follow this bill closely to assess its potential impact on School Based Services and Special Education programs.
If passed, the bill would fund IDEA as promised almost 40 years ago to American students with special needs. The bipartisan IDEA Full Funding Act, strongly supported by the National Education Association (NEA), goes back to the original Education for All Handicapped Children Act (Public Law 94-142), passed in 1975. At the time, the federal government committed to pay 40 percent of the average per pupil expenditure for special education in order to provide opportunity for every child with disabilities.
However, in the 39 years since the Act has been passed, the pledge has never been met. The current federal funding is at just 15.3 percent. The bipartisan legislation would require regular increases in IDEA spending to finally meet the commitment Congress made decades ago. To read the full article <click here>
And more information about the bill from one of the Sponsors, Congressman Tim Walz (D-MN):
NAME Creates Anysia Drumheller Memorial Conference Scholarship
Monday, 01 July 2013 18:07
At its June 2013 meeting, the NAME Board of Directors created the Anysia Drumheller Memorial Scholarship in memory of Anysia Drumheller, a longtime NAME member. The annual Scholarship will provide up to $1,000 for the reimbursement of reasonable costs for travel to and lodging at the NAME Annual Conference. In 2013, the Conference (October 8-11) is in Grand Rapids, Michigan.
OSERS Guidance on Revised IDEA Parental Consent
Thursday, 25 April 2013 10:25
<Click Here> to review the April 23, 2013 OSERS email sent to the State Directors of Special Education providing guidance on the effective date for the Part-B Insurance Regulation.
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