School-Based Medicaid

Definition

The State Department of Education and the Department of Health and Welfare, Division of Medicaid, come together quarterly as a School-Based Medicaid Advisory Committee. These meetings are necessary to help facilitate better communication between school districts (School- Based Medicaid providers), Medicaid policy, and Medicaid Integrity. This committee meets to address changes in School-Based Medicaid IDAPA rules, discuss audit findings and ways to make practice corrections, as well as providing clarification to districts on School-Based Medicaid policies and procedures. This site provides the minutes to Advisory meetings, documentation that is relevant to the implementation of School-Based Medicaid rules, training material, and other related materials.

For additional resources including IDAPA rule and current forms please contact Shannon Dunstan: sdunstan@sde.idaho.gov

or

Alternative Care Coordinator
Idaho Department of Health and Welfare Medicaid
Phone: (208) 287-1169
Fax: (208) 332-7286

What's New?

Download document here. Must have lastest version of Adobe PDF reader available here

Or download PDF form to fill out and submit.

Download document here.  

Any school district that has a School-Based Medicaid question, concern, or recommendation can submit the following form. 

  • Upon receipt of the form, it will be assigned to the appropriate agency to provide a written response. 
  • A written response will be sent back to the district. 
  • All responses will be posted to this site as part of the FAQs.
  • If addition action needs to be taken regarding a submission, the School-Based Medicaid Advisory Committee will work to provide additional guidance.

Medicaid Guidance Handbook (Documents folder) or Direct Download  Scroll down to documents section of page.

Minutes and other documents now published under 2016 Advisory Board Meetings.

The Division of Family and Community Services (FACS) is responsible for processing the renewal applications for individuals who hold a Habilitative Intervention (HI) Certificate of Completion as outlined in IDAPA 16.03.10.685.07.

FACS has identified renewal applications that are not consistently meeting the required number of continuing training hours.  FACS will incorporate the following steps to address these renewals that are out of compliance with IDAPA.

When an individual submits the renewal application for their Certificate of Completion, if it is determined that the individual did not meet the HI continuing training requirement during year one (1), and a gap in training hours occurred, a letter will be sent to the HI Certificate of Completion holder and a letter will be sent to the Medicaid provider identifying that the staff’s qualifications are out of compliance with IDAPA. 

It is the responsibility of Medicaid providers (Developmental Disability Agencies, School Districts, and Charter Schools) to ensure that HI providers are qualified to provide services.  The Medicaid provider is responsible for ensuring the accuracy of claims submitted and shall immediately repay the Department for any services the Department or provider determines were not properly provided or documented.

If you have questions with regards to the Habilitative Intervention Certificate of Completion continuing training requirements, please contact Bobbi Hamilton, BCaBA at hamiltob@dhw.idaho.gov or 1 (208) 334-5777.


Documents

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    Trainings

    Title: SPED - Medicaid Webinar
    Date: March 5, 2015
    Presenters: Elaine Eberharter-Maki, Attorney at Law, also presenting: Frede' Trenkle-MacAllister Idaho Department of Health and Welfare
    Handouts:  Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slide per page PDF) ; Medicaid Position Paper Amended 12 23 14 with Chart (PDF) ;Medicaid Position Paper 2 18 15 with chart (PDF)
    Recording:  Link to view recorded Webinar

    kids smiling

    Medicaid Training:

    The Department of Education in collaboration with the Department of Health and Welfare, Division of Medicaid, have created and posted training material for districts to access in training their staff on the utilization of School-Based Medicaid services.  These trainings are developed to assist Special Education Directors, Special Education Teachers, Behavioral Services, Behavioral Consultants, RN, Related Service Providers (SLP, OT, and PT), and Medicaid billing staff in the implementation of School-Based Medicaid Services.

    Title: Overview of School-Based Medicaid Services
    Date:  March 10, 2015
    Presenters:  Shannon Dunstan, Idaho State Department of Education., also presenting: Frede' Trenkle-MacAllister Idaho Department of Health and Welfare
    Handouts: Presentation Slides (1 slide per page PDF); Presentation Slides (3 slides per page PDF); Presentation Slides (1 slide per page with speaker notes PDF).  Additional files related to this area can be found in the School-based Medicaid Community Portal
    Recording:  Link to view recorded Webinar

    Title: Statewide Processes for Districts (Updated January 20, 2015)
    Presenters: Shannon Dunstan, Idaho State Department of Education and Frede' Trenkle-MacAllister Idaho Department of Health and Welfare
    Handouts: Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slides per page PDF); Presentation Slides (1 slide per page with speaker notes PDF);
    Recording:  Link to view recorded Webinar

    Title: Behavioral Services  (Updated January 20, 2015)
    Presenters: Shannon Dunstan, Idaho State Department of Education and Frede' Trenkle-MacAllister Idaho Department of Health and Welfare
    Handouts: Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slides per page PDF); Presentation Slides (1 slide per page with speaker notes PDF); School Based Services – Behavioral Intervention Chart (WORD)
    Recording:  Link to view recorded Webinar

    Title: Implementing Personal Care Services  (Updated January 20, 2015)
    Presenters: Shannon Dunstan, Idaho State Department of Education and Frede' Trenkle-MacAllister Idaho Department of Health and Welfare
    Handouts:  Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slides per page PDF); Presentation Slides (1 slide per page with speaker notes PDF
    Recording:  Link to view recorded Webinar

    Title: Related Services  (Updated January 20, 2015)
    Presenters: Shannon Dunstan, Idaho State Department of Education and Frede' Trenkle-MacAllister Idaho Department of Health and Welfare
    Handouts: Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slides per page PDF); Presentation Slides (1 slide per page with speaker notes PDF)
    Recording:  Link to view recorded Webinar

    Medicaid Training: New Rules effective July 1, 2016

    Title: Nursing and Personal Care Services - July 1, 2016 Rules
    Date: April 6, 2016
    Presenters: Frede' Trenkle-MacAllister Idaho Department of Health and Welfare, Shannon Dunstan, Idaho State Department of Education
    Handouts:  Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slide per page PDF); Presentation Slides (1 slide per page with speaker notes PDF)
    Recording:  Link to view recorded Webinar

    Title: Evaluation_Assessment - July 1, 2016 Rules
    Date: April 6, 2016
    Presenters: Frede' Trenkle-MacAllister Idaho Department of Health and Welfare, Shannon Dunstan, Idaho State Department of Education
    Handouts:  Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slide per page PDF); Presentation Slides (1 slide per page with speaker notes PDF)
    Recording:  Link to view recorded Webinar

    Title: CBRS - Idaho School-Based Mental Health Services - July 1, 2016 Rules
    Date: April 6, 2016
    Presenters: Frede' Trenkle-MacAllister Idaho Department of Health and Welfare, Shannon Dunstan, Idaho State Department of Education
    Handouts:  Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slide per page PDF); Presentation Slides (1 slide per page with speaker notes PDF)
    Recording:  Link to view recorded Webinar

    Title: BEHAVIOR-INTERVENTION-and-BEHAVIOR-CONSULTATION - July 1, 2016 Rules
    Date: April 6, 2016
    Presenters: Frede' Trenkle-MacAllister Idaho Department of Health and Welfare, Shannon Dunstan, Idaho State Department of Education
    Handouts:  Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slide per page PDF); Presentation Slides (1 slide per page with speaker notes PDF)
    Recording:  Link to view recorded Webinar

    Title: Occupational Therapy Physical Therapy and Speech/Audiological Therapy - July 1, 2016 Rules
    Date:  April 8, 2016
    Presenters:  Frede' Trenkle-MacAllister Idaho Department of Health and Welfare, Shannon Dunstan, Idaho State Department of Education
    Handouts: Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slides per page PDF); Presentation Slides (1 slide per page with speaker notes PDF)
    Recording:  Link to view recorded Webinar

    Title: Transportation Services & Interpretive Services EPSDT - July 1, 2016 Rules
    Date:  April 8, 2016
    Presenters:  Frede' Trenkle-MacAllister Idaho Department of Health and Welfare, Shannon Dunstan, Idaho State Department of Education
    Handouts: Presentation Slides (1 slide per page PDF) ; Presentation Slides (3 slides per page PDF); Presentation Slides (1 slide per page with speaker notes PDF)
    Recording:  Link to view recorded Webinar

    Contact Us

    Shannon Dunstan


    Early Childhood and Interagency Coordinator
    Idaho State Department of Education
    P.O. Box 83720 Boise, Idaho 83720
    208-332-6908 (Office)
    208-703-1660 (Cell)
    sdunstan@sde.idaho.gov

    sde Idaho State Department of Education
    650 W. State Street
    PO Box 83720
    Boise, ID 83720-0027