TIME STUDY. All school district employees who are involved in Medicaid administrative activities and support will participate in a random moment sample (RMS) as the preferred method of reporting time and effort. For more information on RMS see Random Moment Sampling in step 4. It is important that the local school district staff not knowingly perform activities that are already being offered or should be provided by the Division of Medicaid Services, State Department of Elementary and Secondary Education, managed care organizations, and other entities who are providing outreach, referral and assistance to Medicaid eligible and potentially eligible children and their families. School districts should constantly strive to become knowledgeable of Medicaid and health care resources in their communities and develop mechanisms to coordinate activities. As appropriate, this requires the close coordination between school districts, Division of Medical Services, Department of Elementary and Secondary Education, providers, community and non-profit organizations, and other entities related to the activities performed. IDEA provisions require school staff to perform a number of education related activities which can generally be characterized as child find, evaluation (initial) and reevaluation, and development of an Individualized Education Program (IEP). Schools are conducting the above activities for the purpose of fulfilling education-related mandates under IDEA; therefore, the associated costs of these activities are not allowable as administrative costs under SDAC. Administrative activities performed in support of medical services that are not coverable or reimbursable under the Medicaid program would not be allowable as Medicaid administration. In order for a medical service to be reimbursable, the provider furnishing such services must be participating in the Medicaid program and bill Medicaid for the service. It is not always administratively efficient for the schools to verify for each referral whether a provider is participating in the Medicaid program. The state has developed a provider participation rate in order to represent the percentage of referrals to participating providers.
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TIME STUDY. All school district employees who are involved in Medicaid administrative activities and support will participate in a random moment sample (RMS) as time study. Continuous logs will be the preferred method of reporting time and effort. For more information on RMS continuous logs time studies, see Random Moment Sampling in step 4. It is important that the local school district staff not knowingly perform activities that are already being offered or should be provided by the Division of Medicaid Services, State Department of Elementary and Secondary Education, managed care organizations, and other entities who are providing outreach, referral and assistance to Medicaid eligible and potentially eligible children and their families. School districts should constantly strive to become knowledgeable of Medicaid and health care resources in their communities and develop mechanisms to coordinate activities. As appropriate, this requires the close coordination between school districts, Division of Medical Services, Department of Elementary and Secondary Education, providers, community and non-profit organizations, and other entities related to the activities performed. IDEA provisions require school staff to perform a number of education related activities which can generally be characterized as child find, evaluation (initial) and reevaluation, and development of an Individualized Education Program (IEP). Schools are conducting the above activities for the purpose of fulfilling education-related mandates under IDEA; therefore, the associated costs of these activities are not allowable as administrative costs under SDACACM. Administrative activities performed in support of medical services that are not coverable or reimbursable under the Medicaid program would not be allowable as Medicaid administration. In order for a medical service to be reimbursable, the provider furnishing such services must be participating in the Medicaid program and bill Medicaid for the service. It is not always administratively efficient for the schools to verify for each referral whether a provider is participating in the Medicaid program. The state has developed a provider participation rate in order to represent the percentage of referrals to participating providers.
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