Commonwealth of Massachusetts 

Executive Office of Health and Human Services 

Office of Medicaid 

600 Washington Street 

Boston, MA 02111 

www.mass.gov/masshealth 



 

MassHealth 

School-Based Medicaid Bulletin 19 

 October 2010 

 

 TO: School-Based Medicaid Providers Participating in MassHealth 

 

FROM: Terence G. Dougherty, Medicaid Director 

 

 RE: Updates on School-Based Medicaid Programs 

 

 



90-Day Claiming Period Claims for interim direct-service payments must be submitted within 90 
days of the date of service. During FY2010, the MassHealth claims- 
processing system did not automatically deny claims submitted after the 
90-day period. However, the system will automatically deny claims with 
dates of service on or after July 1, 2010, if they are not submitted within 
90 days. 

 

MassHealth will assign a rate of $0.00 to claims for dates of service on or 
before June 30, 2010, that adjudicate after September 30, 2010, to 
ensure proper reconciliation with the cost report. For further explanation 
about the cost-report reconciliation process, see the School-Based 
Medicaid Program User Guide. MassHealth may also void any claims for 
dates of service on or before June 30, 2010, that adjudicate after 
September 30, 2010. 

 

 

AAC Claims for Summer For Administrative Activity Claiming (AAC) claims for activities occurring 

Quarter in the 2009 summer quarter (July 1, 2009, to September 30, 2009), 
school-based Medicaid providers must include in the Quarterly Detailed 
Expenditure Report section of the claim only information related to staff 
members who were included in the Random Moment Time Study (RMTS) 
participant list for one or more of the quarters ending December 2009, 
March 2010, and June 2010. This additional guidance applies only for the 
AAC claims for the 2009 summer quarter. For guidance on calculating 
and submitting AAC claims, please refer to the school-based Medicaid 
program’s Instruction Guide for Massachusetts School-Based Medicaid 
Administrative Claims, dated July 1, 2010. 

 

 

CANS Certification Section 8 of the School-Based Medicaid Program User Guide erroneously 
states that certain mental health professionals need to be certified in 
Child and Adolescent Needs and Strengths (CANS) in order to claim 
reimbursement. Since individuals providing services through the School-
Based Medicaid Program do not administer the CANS, they do not need 
to be certified in CANS. 

 

 

 

 



 

 

 

Questions If you have any questions about the information in this bulletin, please 
contact UMMS at 1-508-856-7640 or e-mail your inquiry to 

 schoolbasedclaiming@umassmed.edu.