School districts are sometimes required to offer certain medical services to students, often covered or partially covered by Medicaid.
Joint updates on Medicaid changes from Commissioner Bowen (Maine DOE) and Commissioner Mayhew (DHHS)
May 26, 2011
April 14, 2011
MaineCare enrollment and billing training and technical assistance sessions
The Maine Department of Health and Human Services, Office of MaineCare Provider Relations and the Maine Department of Education are offering a series of training and technical assistance sessions throughout the state in the coming weeks to help school districts and special purpose private schools address any questions or issues that they may have relative to enrollment and billing MaineCare for services.
Read more, view the agenda, and sign up for a training session
DHHS Clarification Early Intervention Services, School Based Services, and MaineCare Reimbursementin in PDF
DHHS Billing Concerns for School based MaineCare Services for Physical therapy, Occupational Therapy, and Speech Language Pathology Services in PDF
Medicaid Billing Codes
Section 65 and Section 28 Billing Codes
Comprehensive Assessment Form Section 65
Plan of Care: Medicaid Document for IEP
Determining Eligibility to Bill MaineCare doe OT/PT/SL
Consent for Release of Information to Access MaineCare Reimbursement for Health Related Support Services
Medicaid Reimbursement Rates/New Chapter 101 Rules
Informational Letter #70 (January 29, 2010) references new Chapter 101 provisions regarding payment of contracted services for special education.
Medicaid Rates for School Based Health Services
Medicaid Rates for Speech Services
Maine Care Questions and Answers submitted by MADSEC August 3, 2010
“Medical Necessity” decision tree
A guide to determining whether a service on a child’s IEP is billable to MaineCare, which requires the service to be medically necessary.
Certified Seed Form
The Certified Public Expenditures Agreement must be submitted annually in early summer to the Maine DHHS in order to receive federal reimbursement for Medicaid services provided by the district.
Certified Public Expenditures Agreement for July 1, 2011 to June 30, 2012 (PDF)
Certified Public Expenditures Agreement for July 1, 2011 to June 30, 2012 (.doc)
Mainecare Documention Forms
Administrative Letter #004 (July 16, 2010)
Mainecare Documentation Forms - RTF | PDF
Behavioral Health Professional (BHP) Program
Trainging Grid (October 29, 2010)
Section 28 MaineCare Forms for Schools
Procedures for School Providers of Section 28 Services for Children Birth through Five: August 5, 2010
RTF | PDF
Enrollment Form 19 Enroll Schools Birth through Five