School-Based Medicaid Tool Kit

Tool

Program

Topics included

Administrative Activities Claiming

(AAC)

Direct Service Claiming (DSC)

School-Based Medicaid Program User Guide pdf format of userguide-school-based-medicaid-program.pdf doc format of userguide-school-based-medicaid-program.doc file size 1MB

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  • General program information
  • How to become a provider
  • Services eligible for DSC claiming
  • DSC reimbursement methodology
  • Activities eligible for AAC claiming
  • AAC reimbursement methodology

Statewide Random Moment Time Study (RMTS) User Guide (PDF) pdf format of sbmp-rmts.pdf file size 1MB txt format of sbmp-rmts.txt

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  • Information for RMTS coordinators
  • Information for RMTS participants

270/271 Companion Guide (PDF)

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How to check eligibility through the Eligibility Verification System (EVS)

Instruction Guide for School-Based Medicaid Cost Reporting (coming soon)

 

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How to complete the annual cost report for DSC claiming

Massachusetts School-Based Medicaid Cost Report Upload Instructions (coming soon)

 

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How to submit the annual cost report for DSC claiming electronically

Instruction Guide for School-Based Medicaid Administrative Claims (PDF) pdf format of sbmp-igac.pdf file size 1MB txt format of sbmp-igac.txt

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  • How to complete the quarterly cost reports for AAC claiming
  • How to submit the quarterly cost reports for AAC claiming electronically

837 Companion Guide (PDF) for Health-Care Claim: Professional

 

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  • How to compile per-service claims
  • How to submit per-service claims

School-Based Medicaid Bulletins

MassHealth issues provider bulletins as needed to communicate procedures, reminders, and other information to MassHealth providers. The following bulletins provide information specifically about the Municipal Medicaid program. MassHealth also provides general information for Municipal Medicaid program providers through all-provider bulletins.

Note: This is a complete list of all those bulletins that have been issued. Information in some bulletins may be superseded by later ones.

To request hard copies of these bulletins, please contact the University of Massachusetts Medical School at 617-886-8044 or by e-mail at schoolbasedclaiming@umassmed.edu.

School-Based Medicaid Training Materials

5/19/05 Municipal Medicaid Annual Training

This is a slide presentation from the statewide Municipal Medicaid training held on May 19, 2005, in Shrewsbury, MA. This training includes the following topics.

  • A detailed explanation of the changes in the administrative activity time study and claiming methodologies
  • A discussion of the proposed changes to the direct service rate structure

6/19/05 Municipal Medicaid Charter School Training

This is a slide presentation from the Municipal Medicaid training sponsored by the Department of Education (DOE) for charter schools, held on June 19, 2005. This training provides a high-level overview of the Municipal Medicaid program for new charter school providers.

10/13/05 Municipal Medicaid Charter School Training

This is a slide presentation from the Municipal Medicaid charter school training held on October 13, 2005 in Shrewsbury, MA. This training was a followup to the training held on June 19, 2005. It includes the following topics.

  • An overview of the Municipal Medicaid program
  • Detailed instructions to charter school providers for direct services claiming
  • Detailed instructions to charter school providers for administrative activities claiming

Municipal Medicaid Training Materials

School-Based Medicaid Program Guides (for services provided and activities performed before 7/1/09)

7/1/05 Claiming Manual for School-Based Administrative Activities

This manual describes the allowable expenditures and methods for calculating administrative activities claims.

1/1/05 Time Study Manual for School-Based Administrative Activities

This manual defines the time study procedures to be used in completing the quarterly administrative activity time study. It also includes a detailed description of the time-study activity codes.

Municipal Medicaid Program Guides



This content is administered by MassHealth.