As schools remain under funded and families are in need of assistance to meet basic health needs of their children, the ability for schools to provide this assistance and receive partial Medicaid reimbursement is more critical than ever. The district participates in the MSBA Medicaid Consortium, which provides support services allowing school districts to participate in the following programs:
School District Administrative Claiming (SDAC)
Administrative claiming allows Missouri’s school districts to become an “administrative arm” of the MO Health Net Division through eligibility outreach, coordination and referral for improved health care services for students.
“The purpose of administrative claiming is to encourage the development of a framework of activities that result in each MO Health Net participant having information and assistance to access needed health care services from a qualified provider.”
~MSBA – Medicaid Consortium
Direct Service Billing
That allows LSR7 to receive funding from the Medicaid Direct Service Claiming (DSC) program for IEP-covered services to eligible children through the State’s Medicaid agency. This is a state-approved program that allows LSR7 to receive reimbursement from federal funds for providing some health-related covered services to eligible children in our school system. Examples of covered services include speech therapy, assistance with daily living skills, physical therapy, and nursing services. We are required to notify you of our participation and the IDEA regulations stated below.
The district, working with the State Medicaid agency, will need to determine if your child is eligible or should become eligible in the school-based Medicaid program. Your written consent indicates that you understand and agree that the District will submit your child’s information to the State Medicaid agency and their authorized agencies to verify eligibility and submit claims for the DSC program. The school may use Medicaid benefits in which a child participates to provide or pay for services documented in the Individualized Education Program (IEP). Parents are not required to sign up for or enroll in Medicaid to receive IEP services or a free appropriate public education, nor are they responsible for any out-of-pocket expenses for these IEP services. Also, the district’s access to these benefits is not allowed if it would have a negative impact on your public insurance.
We will provide the required services to your child at no cost to you whether or not you grant your written consent. Your consent is voluntary and may be revoked at any time. The district’s use of this reimbursement program does not in any way affect or impact other Medicaid benefits to which the child is entitled, including any otherwise eligible services out of the school.
If you have any questions regarding Medicaid billing, please do not hesitate to contact the Medicaid Administrative Assistant; email address and telephone number are available on the Contact page.