Medicaid

School districts are sometimes required to offer certain medical services to students, often covered or partially covered by Medicaid.

Medicaid Updates

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

Updated 08/11/2011...mhs