Introduction

Answer:

Welcome to the Medicaid School-Based Services topic page.We acknowledge that navigating Medicaid School-Based Services can be complicated and confusing. The purpose of this webpage is to provide information, resources, clarification, and training to support LEAs implementing and billing for Medicaid School-Based Services. This webpage has six sections, as described below.

What’s New – This section includes new information as it becomes available. Check this section frequently to learn about any exciting news or upcoming events.  Information in this section will move into other relevant sections as it ages.

Medicaid Advisory Committee – This section describes the purpose of the Medicaid Advisory Committee and lists the meeting dates and membership for the 2020-21 school year.

Clarification Form – This section explains how to submit questions, concerns, or issues related to implementing and billing for Medicaid School-Based Services. A link to the online Clarifications Form is provided.

Clarifications – This section includes the web link to a dedicated webpage that houses questions and responses from previously submitted Clarification forms.

Links – This section includes links to Medicaid School-Based Services resources.

School-Based Medicaid Resources - This section houses the Idaho Medicaid School-Based Services Reference Guide, agendas and minutes from advisory committee meetings, webinar recordings, training materials, and other documents related to implementing and billing for Medicaid School-Based Services.



What's New

Medicaid SBS documents find a new home (9-10-20): Four Medicaid School-Based Services have moved from the SDE Special Education Forms webpage to the Medicaid Reference Guide and Support Documents resource. You will now find English and Spanish versions of the Consent to Bill Medicaid and Notification Regarding the Use of Public Benefits. All four documents are updated for 2020 and fully accessible. 

COVID-19 guidance documents posted (9-10-20): Two COVID-19 related guidance documents have been added to the Medicaid Reference Guide & Support Documents resource: Medicaid SBS COVID-19 QA v.8 5-19-2020 and Medicaid SBS Guidance for Back-to-School 2020. The Back-to-School guidance document will be updated as new information and questions are added.

2020 Medicaid SBS Reference Guide (9-10-20): The 2020 version of the Medicaid SBS Reference Guide is now published to the Medicaid Reference Guide & Support Documents resource and ready for you to download.

 

Medicaid Advisory Committee

Answer:

The Department of Health and Welfare (DHW) and the State Department of Education (SDE) collaborate to support the Medicaid Advisory Committee (MAC). The purpose of the MAC is to facilitate collaboration among Local Educational Agencies (LEAs), the SDE, and the DHW related to Medicaid School-Based Services (SBS) and providers. The MAC’s role is to serve as a consulting body for matters of Medicaid SBS policy and practice and to recommend changes to Medicaid SBS policy, within the scope of applicable state and federal rules.

Meeting agendas and approved minutes from the past three years are available in the School-Based Medicaid Resources section of this topic page and are organized by school year.  Agendas and approved minutes for this year will be posted as they become available.

During the 2020-21 school year, the MAC will meet on the second Wednesday of September, December, March, and June. All meetings below are from 1:00 – 4:00 PM (Mountain) /12:00-3:00 Pacific.

Wednesday, September 9, 2020
Wednesday, December 9, 2020
Wednesday, March 10, 2021
Wednesday, June 9, 2021


Medicaid Advisory Committee Membership

MAC membership includes representatives from the SDE, the DHW, LEA Special Education (SPED) Directors (or designees) from each of the six Idaho Educational Regions and charter schools, and Idaho Parents Unlimited. LEA representatives serve a three-year term. MAC Committee members for 2020-21 are listed below.

  • Charlie Silva: Special Education Director, SDE
  • Karren Streagle: Alternate Assessment/Low Incidence Disabilities/Medicaid Coordinator, SDE
  • Matt Wimmer: Bureau Chief, Bureau of Developmental Disability Services, Division of Medicaid, DHW
  • Vacant: Medicaid Program Policy Analyst for School-Based Services, Division of Medicaid, DHW
  • Lori Stiles: Medicaid Program Integrity Unit, DHW
  • Sara Yoder: SPED Director, Boundary School District, Region 1
  • Lori Ravet: SPED Director, Lapwai School District, Region 2
  • Chynna Hirasaki: SPED Director, Caldwell School District, Region 3 (completing Julie Mead’s term)
  • Sherry Bingham: SPED Director, Minidoka School District, Region 4
  • Holly Tanner: SPED Director, Bear Lake School District, Region 5
  • Bryon Kennedy: SPED Director, Sugar-Salem School District, Region 6
  • Stephanie Lee: SPED Director, Rolling Hills Public Charter School
  • Jared Bissen: SPED Director, Gem Prep
  • Angela Lindig: Idaho Parents Unlimited


Medicaid SBS Clarification Form

Answer:

The Medicaid SBS Clarification Form is designed for you (billers, teachers, therapists, administrators, psychologists, etc.) to submit questions, concerns, or issues related to implementing and/or billing for Medicaid School-Based Services. Once you complete the online Clarification Form, we will respond to your question, concern, or issue via emails. Then, we post your question, concern, or issue with our response to the Clarifications webpage. Please allow up to two weeks to receive a response. If you have an urgent question, concern, or issue, please email Karren Streagle to let us know of your urgency. We ask that you do two things before submitting a new Clarification form:

1. Please browse the Clarifications webpage to see if your question, concern, or issue has already been addressed by an existing Clarification.
2. Please submit only one question, concern, or issue per Medicaid SBS Clarification Form.


Clarifications

The Clarifications webpage includes the questions, concerns, and issues submitted using the Medicaid SBS Clarification Form, with responses developed collaboratively by DHW and SDE staff.  Questions and their accompanying responses are organized by categories and are searchable. Please browse these clarifications for answers to your questions, concerns, and issues before submitting a new Medicaid SBS Clarification Form. If you notice conflicting responses or need additional information, please let us know by submitting a new Medicaid SBS Clarification Form.



School-Based Medicaid Resources

Contact Us

Karren Streagle, Ph.D.

Alternate Assessment/Low Incidence Disabilities/Medicaid Coordinator
Idaho State Department of Education, Special Education Department
208-332-6824
kstreagle@sde.Idaho.gov

Vacant

Medicaid Program Policy Analyst for School-Based Services
Idaho Division of Medicaid
Bureau of Developmental Disability Services
SchoolBasedServices@dhw.idaho.gov

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