Medicaid

OSPI - Special Education Memorandum 005-12M

Sept. 1, 2011 - Health Care Authority Letter to Districts Medicaid in Education (PDF)
*School Based Services - effective immediately Program Update 5-15-12

Required Medicaid Forms

• Eligibility Verification (Word) (PDF) do not submit
• Consent for Billing (Word) (PDF) do not submit *See OSEP Memo 07-10 below for more info.
• 2011-12 Form SPI 1679 - Potential Medicaid Eligible Student Worksheet:
  Instructions, Pg. 1 (PDF) | Worksheet, Pg. 2 (Excel)

WACs

• Consent to Bill - 392-172A-07005(2)(d)
• Safety Net Adjustments - 392-140-675
• School-based healthcare services - Chapter 182-537-0350 (formerly ‘388-537’)

School-Based Healthcare – Health Care Authority (HCA)

• Current Medicaid Provider Guide
• School-Based Health Services Fee Schedule
• Intergovernmental Transfer Process (IGT) (under ‘Resources’ section)
• Medicaid State Plan (Dec. 16, 2011) School-Based Services 11-23

Billing Consultants

Public Consulting Group

• Medicaid Claiming & Billing
• Goalview
• IEP Online – Dashboard Login

Leader Services

• Leader Services

Provider One

• Provider One

Healthcare Services

• Centers for Medicare & Medicaid Services - CMS
• Provider Services - HCA/HRSA

Related Links
National Alliance for Medicaid in Education - NAME
*Alexa Posny: Interpretation of 34 CFR §300.154 Parental Consent – OSEP MEMO 07-10 (PDF)