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MassHealth school-based Medicaid program publications

MassHealth school-based Medicaid program publications

The MassHealth school-based Medicaid program tool kits are for the direct service claiming (DSC) and administrative activities claiming (AAC) programs.

School-based Medicaid program user guide

The school-based Medicaid program user guide has information for both the direct service claiming (DSC) and administrative activities claiming (AAC) programs.

Topics include:

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

Additional Resources

Statewide random moment time study (RMTS) instruction guide

The school-based Medicaid program statewide random moment time study (RMTS) instruction guide has information for both the direct service claiming (DSC) and administrative activities claiming (AAC) programs.

Topics include:

  • Information for RMTS coordinators
  • Information for RMTS participants

Additional Resources

Instruction guide for school-based Medicaid administrative claims

The instruction guide for school-based Medicaid administrative claims is for the administrative activities claiming (AAC) program.

Topics include:

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

Additional Resources

270/271 Companion Guide and 837 Companion Guide

To request a copy of the 270/271 Companion Guide (How to check eligibility through the Eligibility Verification System (EVS)) or the 837 Companion Guide (for Health-Care Claim: Professional) Guides please contact MassHealth Customer Service at 1-800-841-2900.

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

Additional Resources

Municipal Medicaid program guides

Additional Resources

School-based Medicaid program public notices

Additional Resources

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