Missouri Department of Elementary and Secondary Education


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Subject: Medicaid Updates
Source: Shelley Witherbee, Supervisor, Funds Management

Intended Audience: School Administrators, Directors of Special Education, Medicaid Billers

Date: September 11, 2007

MISSOURI MEDICAID NAME CHANGE TO MO HEALTHNET Due to Senate Bill 577, the Department of Social Services, Division of Medical Services (DMS), the administrator of the Medicaid program in Missouri, has changed its name to the MO HealthNet Division effective September 1, 2007. All Medicaid services in MO will now be referred to as MO HealthNet services. The new website for MO HealthNet is http://www.dss.mo.gov/mhd/index.htm. At this time, the MO HealthNet program changes do not affect the method in which districts bill for Direct Services.

CMS PROPOSED ELIMINATION OF THE SDAC PROGRAM The Centers for Medicare and Medicaid Services (CMS) announced its intention to eliminate Medicaid payments under the School District Administrative Claiming (SDAC) program starting in the 2008-09 school year for administrative activities performed by school employees or contractors, or anyone under the control of a public or private educational institution. In FY 07, school districts in Missouri received approximately $5 million dollars from the SDAC program. The proposed rule is open for public comment at http://www.cms.hhs.gov/MedicaidGenInfo/Downloads/CMS2287P.pdf until November 6, 2007. CMS will then review the comments and prepare a final rule.

MEDICAL RECORDS REQUESTS FROM LIVANTA LLC The MO HealthNet Division (formerly known as Division of Medical Services) has been chosen to participate in a program known as the Payment Error Rate Measurement (PERM) project developed by CMS. This initiative allows CMS to measure the accuracy of payments for Medicaid services at the state and national level. As part of this project, a random sample review of claims is being conducted. As a school district, you may be asked to provide medical records to Livanta LLC who is contracted by CMS. Please cooperate with these requests. Just a reminder parental consent is needed to release the records to Livanta LLC.

TRAINING BY MO HEALTHNET DIVISION The MO HealthNet Division provider education staff is providing remote interactive training to school districts using the internet and telephone conference lines. The presentations are relatively short and are usually limited to 60 to 90 minutes in length. The trainings cover information for providers of occupational, speech, or physical therapies and psychology/counseling. For more information, go to http://www.dss.mo.gov/mhd/providers/pdf/oworkshops.pdf.

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Missouri Department of Elementary and Secondary Education
Division of Special Education
P.O. Box 480
Jefferson City, MO 65102
Email:  webreplyspe@dese.mo.gov
Phone: 573-751-5739   Fax:  573-526-4404


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