The Centers for Medicare and Medicaid Services (CMS) has published guidance online for states that opt to cover telemedicine services. Noting that “Telemedicine is viewed as a cost-effective alternative to the more traditional face-to-face way of providing medical care (e.g., face-to-face consultations or examinations between provider and patient),” the federal agency advises that a separate Medicaid State Plan Amendment (SPA) is not required if states “decide to reimburse for telemedicine services the same way/amount that they pay for face-to-face services/visits/consultations.

For full details visit http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Delivery-Systems/Telemedicine.html.

In a December 15, 2014 letter to State Medicaid Directors, the Centers for Medicare and Medicaid Services (CMS) issued guidance regarding “free care”. This topic appears in a number of previous CMS guidance documents, including: “1997 Medicaid and School Health: A Technical Assistance Guide,” and “2003 Medicaid School-Based Administrative Claiming Guide.” The 12/15/14 letter provides clarification on “free care” in light of 2004 Departmental Appeals Board (DAB) Decision Number 1924.  

NAME hopes to continue providing you information on this topic, as we reach out to our federal partners at CMS.

Click here to review the State Medicaid Directors Letter #14-006

The American Public Health Association and its Center for School, Health and Education website highlights the role of school-based health services in helping to prevent school dropout and improve graduation rates.  In another publication demonstrating the inextricable link between health and academic success, the Center for Society and Health at Virginia Commonwealth University argues the cost effectiveness of public investments to reduce debilitating chronic conditions, save tax dollars and boost economic productivity.  And, in recognition that school dropout poses a major threat to public health, the Healthy People 2020 goals include an indicator related to educational achievement for the first time.

On November 12, 2014, the U.S. Department of Education’s Office for Civil Rights and Office of Special Education and Rehabilitative Services, together with the U.S. Department of Justice’s Civil Rights Division, issued joint guidance that explain that public elementary and secondary students with hearing, vision, or speech disabilities have civil rights to receive effective communication. The guidance is in the form of a letter to educators (available in Spanish) with an attached Frequently Asked Questions document, and is intended to help schools understand and comply with federal legal requirements on meeting the communication needs of students with disabilities. They also released a fact sheet on the guidance for parents (available in Spanish).
Please share this information widely with your colleagues, affiliates, and networks.

Congratulations to:

   

Name:

 

Robin Morrison

Agency:

 

North Carolina Department of Health and Human Services

Position:

  

Local Education Agency Clinical Policy and Program Coordinator

Why Robin would like to attend the 12th Annual  NAME Conference and why she feels participation will benefit her work:

                                  

As the Local Education Agency Clinical Policy and Program Coordinator for Outpatient Specialized Therapies for NC DMA, I must explain and defend the disbursement of federal funds for services provided by the schools to Medicaid beneficiaries to legislatures, caregivers, state associations and other practitioners.

Attending the 12th Annual NAME Conference will help me increase my comprehension of federal laws, statutes and policies that govern Medicaid reimbursement, and will allow me to compare the NC policy and program with the policies and programs followed in other states. The information provided at the conference will enable me to share relaible and accurate facts to the Local Education Agencies in NC.

 

 

Congratulations to:

   

Name:

 

Diane Ballard

Agency:

  Cedar Rapids Community School District, Iowa

Position:

  

Medicaid Facilitator

Why Diane would like to attend the 12th Annual  NAME Conference and why she feels participation will benefit her work:   

 

I am the Medicaid Facilitator for the second largest school district in Iowa. I have attended several NAME conferences in the past, but due to budget constraints our school district has imposed a ban on travel beyond a 5-hour radius outside of our district. This directly affects my ability to attend the NAME conference this fall.

I have benefitted greatly from participating in past conferences. I have learned so much about School-based Medicaid and also about Medicaid in general. I am especially grateful for the knowledge and ideas I receive from staff in other parts of the country that I have been able to use back in my own district to enhance my district’s participation in school-based Medicaid. I feel I have given ideas to others as well, and in fact, I was a presenter last year.

I attend these conferences to improve my leadership skills, collaborate with others, and to ensure that collectively we remain strong as a national organization. I want to be able to continue to be an active member of NAME and support our mission. Thank you for considering me for this scholarship.

Congratulations to:

   

Name:

 

Dawn Bray

Agency:

  Beaumont Unified School District, California

Position:

  

MAA Coordinator

Why Dawn would like to attend the 12th Annual  NAME Conference and why she feels participation will benefit her work: 

 

I am the District MAA Coordinator, as well as the District LEA Billing Coordinator, for my district. The great state of California has experienced many changes in SMAA and LEA Billing this year. We are getting ready to implement RMTS (Random Moment Time Survey).

It would be very beneficial to my district for me to attend the conference, network with agencies from other states who have already implemented RMTS, learn more about policy development, and help to develop solutions to the concerns addressed in our state.

Congratulations to:

   

Name:

 

Anne Jeschke

Agency:

 

Warren County School Board

Position:

  

Medicaid Billing Coordinator (also a Physical Therapist)

Why Anne would like to attend the 13th Annual  NAME Conference and why she feels participation will benefit her work:

 

 

 

 

 

 

 

                                  

I am the original Medicaid Billing Coordinator for Warren County Public Schools in Front Royal, Virginia. I am also a physical therapist and continue to carry a small caseload. In a small, rural school system you get to wear many hats. That is a good thing in many ways and has kept my job very challenging and interesting for 22 years. It also presents the disadvantage of working outside of areas or which you were trained. As the first coordinator, I have had to learn the job bit by bit, not always efficiently or even correctly. This year I have had the pleasure of meeting with a regional group of Medicaid coordinators. This has provided me with a wealth of experience, assistance and support.  There is so much to be gained by pooling experience and working collaboratively.


And so I am applying for the Anysia Drumheller Memorial Scholarship in order to attend the NAME Conference. Having read about her, I sense her spirit of joy in collaborating with others. I would like to attend the conference because I am very interested in participating on a national level in order to be more successful with bringing Medicaid reimbursement to Warren County. I thank you for your consideration.

Congratulations to:

   

Name:

 

Deborah Adams

Agency:

 

Dubuque Community School District

Position:

  

Medicaid Coordinator (also School Nurse)

Why Deborah would like to attend the 13th Annual  NAME Conference and why she feels participation will benefit her work:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                  

I am submitting this request for the "Anysia Drumheller Memorial Scholarship" in order to enhance my practice as the Medicaid Coordinator for our school district and to honor Ms. Drumheller by actively advocating for Medicaid program integrity and following "NAME's" mission statement. Program integrity assures our students the continuation of services necessary for them to successfully achieve their full potential in school as supported through the Medicaid Program.  I am a Registered Nurse of 38 years, practiced school nursing for 18 years and taught for four years in our school district. Practicing in these two roles assists me to understand the complexities of claiming for health and behavior needs. We provide Medicaid services for approximately 480 students and have a dedicated hard working staff. As a school nurse I have submitted Medicaid claims and now I have just completed my first year as the Dubuque Community School Districts-LEA Medicaid Coordinator.  I have years of experience but I believe in order to do my best job I need to actively participate in "NAME".  

Attending this conference will provide me with an opportunity to learn more about the latest Medicaid updates and also allows me to network with other Medicaid coordinators and leaders to improve my practice and assure the highest standards of practice in our school district.  I am thrilled to be introduced to a Professional Organization that assists in providing its members and affiliates an opportunity to keep current on Medicaid standards and provides a nationwide network of professionals to learn and share with.
 
Membership in "NAME" will provide me with up-to-date information, education and resources to continue to build a strong Medicaid program.  I believe participation in a professional organization provides credibility to my position and to our school districts goal to provide the best educational opportunities and support for our students.
 
Thank you for considering this request. In doing so you are supporting the development of my Medicaid knowledge as we strive to continue a program that supports our students’ individual needs.

Congratulations to:

   

Name:

 

Rebekah Helget

Agency:

 

Special Services Co-op USD 320

Position:

  

Special Education Director

 

Why Rebekah would like to attend the 13th Annual  NAME Conference and why she feels participation will benefit her work:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                  

Last year, I attended the NAME conference and couldn't wait to get back to Kansas after 3 days of Professional Learning to share with other Directors across the state the information that was learned.  After attending the conference I received much more clarity and understanding  regarding Medicaid and how it relates to LEA agencies.  My passion and excitement was contagious and in January 2015 I was able to present the information to our KASEA (KANSAS Council of Administration Special Education) organization several months after the NAME conference.  The Professional Learning and information that was provided to our Directors in the state was well received and provided us with more info1mation regarding the need to continue Professional learning in the area of Medicaid for LEA Agencies. After our KASEA conference in January 2015, the feedback regarding the Medicaid presentation was extremely positive. Many mentioned they dreaded the topic, as they view Medicaid as a boring topic; however the evaluation feedback was amazing!  As a matter of fact, many veteran directors mentioned the information presented was the most informational and interesting presentation in regards to Medicaid they had ever received. Made me smile, as the info1mation was what had been learned at the NAME conference in October 2014.

I would love to continue my understanding for Medicaid in education in order to help build confidence with our local agencies.  Building local capacity is extremely impmiant and also helps suppmi our Kansas State Depaiiment of Education in their endeavors to build local capacity.  Therefore, I would love to be considered for the Anysia Drumheller memorial Scholarship in 2015 to continue my professional growth as an educator in the area of Medicaid.

Thank you for taking the time to consider my application request.  Attending the NAME conference would be an honor and I guarantee you it will be a great investment, as I would continue to build a level of understanding in the area of Medicaid in education within our public schools in Kansas.