Commonwealth of Massachusetts
Executive Office of Health and Human Services
Office of Medicaid
www.mass.gov/masshealth
MassHealth
School-Based Medicaid Bulletin 23
April 2013



TO:	School-Based Medicaid Providers Participating in MassHealth

FROM:	Julian J. Harris, M.D., Medicaid Director    

RE:	Claiming Medicaid Reimbursement for Students Placed in the Judge Rotenberg 
Center


Background

Currently, school-based Medicaid providers submit interim claims for students 
in private residential programs. In addition, tuition payments are included in 
the annual direct service cost report and quarterly Medicaid administrative 
activity claims.

Federal Financial Participation (FFP) Changes

The Centers for Medicare & Medicaid Services (CMS) has issued guidance to
MassHealth that, effective December 14, 2012, federal financial participation 
(FFP) is not available for services provided by the Judge Rotenberg 
Center, located in Canton, Massachusetts.

Therefore, effective immediately, MassHealth will not request FFP for 
expenditures for tuition for students placed at the Judge Rotenberg Center. 
Such expenditures must be excluded from all school-based Medicaid direct 
service and administrative activity claims. 

If your school district included such tuition expenditures in your FY 2012 
annual direct service cost report, please remove these expenditures and 
resubmit your cost report to the University of Massachusetts Medical School 
by April 10, 2013. The deadline for receipt of the corrected FY 2012 cost 
report certification of public expenditure letters is April 10, 2013.

If your district included such tuition expenditures in any of your FY 2012 
administrative activity claims, amendments to those claims must be submitted 
no later than April 15, 2013, with the certification letters due no later than 
April 20, 2013.

Interim claims or tuition expenditures for the Judge Rotenberg Center must 
not be included in any FY 2013 or future claims.

Questions

If you have any questions about the information in this bulletin, please contact 
MassHealth Provider Services at 617-628-4141 or 1-800-325-5231, e-mail your 
inquiry to providersupport@mahealth.net, or fax your inquiry to  
617-988-8974.