School district and individual therapists must both enroll for a National Provider Identifier (NPI). Therapists who only have a DESE Teacher Certification in Speech and Language and no state license will be assigned a pseudo-NPI by Medicaid. They do not complete the instructions below.
Effective March 1, 2007, school districts must enroll for a group number (beginning with 50) and have each individual therapist (beginning with 46, 47, or 48) enroll for a Missouri Medicaid provider number. Both the school district and all the individual therapists must have a Missouri Medicaid number. The school district will always be the billing provider and always receive the Medicaid reimbursement. The individual therapists will always be the performing provider and will never receive Medicaid reimbursement.