KSBA Medicaid Billing Program

Under Kentucky and federal law, school districts may qualify for Medicaid reimbursement as a funding source for special education services such as:

• speech and language therapy,

• occupational therapy,

• physical therapy,

• mental health (counseling),

• ARC meeting attendance,

• nursing/health aides,

• audiology,

• interpreter services (hearing, vision & language),

• purchase of assistive technology devices,

• special transportation, and

• orientation & mobility.

Districts are given the freedom to regenerate these funds into some of their current programs.

KSBA has been involved with the Medicaid Billing Program since its inception in 1996.  The KSBA Billing Service is more than a claim-entry service. It’s also a time-saving management tool.

Our service fee is only 10 percent of the school districts reimbursement from Medicaid. For example, if your district receives payment from Medicaid for $2000, KSBA would only charge $200.This saves the district on average 200 percent of what it would take to employ someone to do the data-entry, submission and research themselves.

Catalog of Services:

• Assist school districts in becoming approved Medicaid providers

• Assist school districts with the initial and quarterly eligibility determination

• Provide in-service training, including an easy to use reference manual and offer CEU and EILA credit

• Daily telephone consultation

• Assist with state monitoring

• Obtain Prior Authorization Numbers for Medicaid kids

• Billing of all Medicaid claims and reconciliation of Medicaid reports

• Resubmission of claims at no additional charge

• Comprehensive periodic reports

• A bi-monthly newsletter, MedAlert, with information on local, state and federal developments in the special education component of Medicaid.

2008 Primary Numbers: 

Districts subscribing to Medicaid Billing Program:  114

Districts receiving on request MedAlert service: 196

Reimbursed revenue to Kentucky school districts annually: $3.2 million (2007)

Service Contact: Stephanie Aldridge

© 2004 Kentucky School Boards Association.

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