OAKLAND, Calif. — Gerardo Alejandrez used to punch classmates, throw chairs and curse at his teachers, conduct that forced him to switch from school to school. “I had a lot of anger issues,” the 16-year-old said recently. Then Gerardo entered a class at Oakland Technical High School for students who have mental health or behavior issues. In that classroom, the teacher gets support from Erich Roberts, a psychiatric social worker assigned to the group. Oakland Unified School District bills Medicaid, the nation’s insurance program for low-income residents, for Roberts’ services. Those payments officially cover the time he spends — in and out of the classroom — providing therapy and other assistance for nine Medicaid-covered youths as well as meeting with their family members. Roberts’ presence in the classroom is also an asset for the teacher and four other kids in the class who are not on government insurance. Many of the students in the class would likely drop out without the extra help, Roberts said.
OAKLAND, Calif. — Gerardo Alejandrez used to punch classmates, throw chairs and curse at his teachers, conduct that forced him to switch from school to school. “I had a lot of anger issues,” the 16-year-old said recently.
Then Gerardo entered a class at Oakland Technical High School for students who have mental health or behavior issues. In that classroom, the teacher gets support from Erich Roberts, a psychiatric social worker assigned to the group. Oakland Unified School District bills Medicaid, the nation’s insurance program for low-income residents, for Roberts’ services.
Those payments officially cover the time he spends — in and out of the classroom — providing therapy and other assistance for nine Medicaid-covered youths as well as meeting with their family members. Roberts’ presence in the classroom is also an asset for the teacher and four other kids in the class who are not on government insurance. Many of the students in the class would likely drop out without the extra help, Roberts said.https://www.disabilityscoop.com/2018/03/14/how-medicaid-funder-schools/24853/
By Larry Charny (NC), Communications Committee
Medicaid and CHIP: Families Can Apply at Any Time – So Why Wait?
It’s so important for children to get the health care they need, when they need it. That’s why the Connecting Kids to Coverage national campaign features the reminder that enrollment in Medicaid and CHIP programs can occur all year long. See more here:
Summertime is when students and your children and grandchildren are participating in many different activities including traveling. The non-profit organization EducatorLabs.org which is comprised of school librarians and media/market research specialists, has released a list of links with information that promote child safety for the summer. Check out and share these links and prepare now for the safety of your students and loved ones.
By Larry Charny (NC), Communications Committee
A Primer on Medicaid Telepractice Reimbursement
Speech Therapist Cheris Frailey presented at the NAME 2014 Annual Conference. She has authored an article about Medicaid coverage of speech and audiology services across the country via telepractice. Read it here:
Half of Doctors Listed as Serving Medicaid Patients Are Unavailable, Investigation Finds
Consider the impact on special needs students and their families – from referrals to prescriptions to continuity of supportive services—if there are not enough physicians and other health care providers accepting Medicaid patients. This article from the New York Times summarizes one finding of a federal inspector general audit of availability of such providers in Medicaid managed care health plans:
CMS issues guidance on ‘free care’ and third party liability
On Monday, December 15, 2014, the Centers for Medicare & Medicaid Services (CMS) issued guidance to states regarding Medicaid payment for services covered under a state’s Medicaid plan to an eligible Medicaid beneficiary that are available without charge to the beneficiary (including services that are available without charge to the community at large, or “free care”). The letter is available at www.medicaid.gov/federal-policy-guidance/federal-policy-guidance.html. The NAME Governmental Affairs and Public Relations Committee will be working to provide an explanation of the meaning and impact of this guidance to Medicaid school based services programs.
Federal funding opportunities for parent training and awareness via information centers.
The federal Office of Special Education Programs (OSEP) published in the federal register on December 11, 2014, some opportunities for funding. The program is called “training and information for parents of children with disabilities—parent training and information centers”. The purpose of this program is to ensure that parents of children with disabilities receive training and information to help improve results for their children. The intent is to fund 41 Parent Training and Information Centers (PTIs) designed to meet the information and training needs of parents of infants, toddlers, children, and youth with disabilities, as well as the information and training needs of youth with disabilities living in the States, regions of the States, or areas served by the centers.
The notice invites applications for awards for fiscal year (FY) 2015. Applications were made available: December 11, 2014 and the deadline for transmittal of applications is February 9, 2015. More information is here:
Larry Charny, (NY), Communications Committee
Yesterday's information provides context;
Today's information prepares you for tomorrow.
Information on Special Education, Medicaid and their points of intersection are dynamic and complex. The original intent of this column was to provide a portal to the most recent information, from a variety of news outlets, covering a wide range of issues relevant to members of NAME.
We now embrace the immediacy of Facebook as an efficient means to share news and links with members and colleagues, but many schools and agencies still do not allow access to Facebook. So we continue to share in as many formats as possible.
Hugh Herr: The new bionics that let us run, climb and dance
At the link below find a “Ted Talk”. It is a very unique rephrasing of disabilities and poses some creative policy solutions for the future. If you’re able to join over 1.6 million other viewers and watch to the end (19 minutes), you’ll see that even the role of the federal Centers for Medicare and Medicaid Services (CMS) appears in this broadly thoughtful scenario. Imagine a day when schools will not need to claim Medicaid for Special Transportation reimbursement because there will be no need for specially modified buses because students will be fitted for specially modified prosthetics -- paid for by CMS -- and therefore be able to negotiate the steps getting onto a regular bus...
Hugh Herr is building the next generation of bionic limbs, robotic prosthetics inspired by nature's own designs. Herr lost both legs in a climbing accident 30 years ago; now, as the head of the MIT Media Lab’s Biomechatronics group, he shows his incredible technology in a talk that's both technical and deeply personal — with the help of ballroom dancer Adrianne Haslet-Davis, who lost her left leg in the 2013 Boston Marathon bombing, and performs again for the first time on the TED stage.
How to Think About the Risk of Autism
This article is not directly related to Medicaid and School Based services, but is about how hard data can help parents keep a cool head, but the content may be of interest to some of you:
Inside the Mind of a Child With Autism
Nudged by an author and former journalist, researchers want to study therapy incorporating animated characters as a way to achieve a deeper connection:
Special Ed Preschool funds stolen
Four Men Indicted in $12.4 Million Theft of N.Y. Special Ed. Funds:
Why Paper Prescriptions Are Going The Way Of Snail Mail
Here is another story related to the importance of securing protected health information you collect, because it’s about lost student prescriptions and orders:
Stolen EHR Charts Sell for $50 Each on Black Market
This article seems worlds away from school districts and Medicaid reimbursement, but we think worth your consideration as another potential risk for the health records you're charged to keep secure:
By: Larry Charny (NY) Communications Committee
Information on Special Education, Medicaid and their points of intersection are dynamic and complex. This column, In the Media, provides a portal to the most recent information, from a variety of news outlets, covering a wide range of issues relevant to members of NAME. Yesterday's information provides context; today's information prepares you for tomorrow. Here are links to some articles we think will be of interest to you:
Charter Schools Serving Fewer Students With Disabilities
Charter schools are enrolling a disproportionately low number of students with disabilities:
Ohio gets $10M for Medicaid training
Money will go to 6 Ohio universities to improve health outcomes. Health care professionals at the schools, hospitals, clinics and community-based sites will learn to work together to coordinate patient care:
Education Budget Basics for Next Year (NY)
The city wants to do a better job of submitting claims to Medicaid, after failing to collect tens of millions of dollars in years past:
NY State: East Ramapo owes $186G for Medicaid special-education over-payments
The financially strapped East Ramapo school district owes at least $186,804 in Medicaid:
Deep cuts to Oakland schools' special education programs, made in the last week of school, blindside teachers and families
The Oakland school district's special-education programs will take a $4.3 million hit next school year under a plan to fix a multimillion-dollar budget shortfall discovered just a month ago:
Marlborough council avoids school budget cut (MA)
...school officials were being encouraged to seek more Medicaid reimbursements, which now go to the city, but could be transferred to the schools: