MISSION STATEMENT:

Provide Public Education Agencies with increased federal funding opportunities through state and federal Medicaid reimbursement programs with an inherent focus on customer service and accountability.

SERVICES AVAILABLE TO PUBLIC EDUCATION AGENCIES:

Electronic Billing
Medicaid Eligibility Determination
Toll Free Help Desk
Training
ARMAC Program Facilitation
Technical Assistance
Policy and Program Development
Advocacy for New, Improved Programs
Revenue Increasing Strategies
Data Collection
Data Analysis
Data Maintenance

The following resources have been developed to promote efficient and effective methods of maximizing potential reimbursement for services and activities delivered to the students enrolled in Arkansas' Public Schools.

What's New

Medicaid Application pdf
Medicaid Application Directions pdf
Revised DMS-640 form doc
Arkansas Finish Line Outreach Project pdf
QSource will replace AFMC as the Medicaid Therapy Utilization Review July 1, 2008 pdf
New Employed Therapist Requirement (Updated 8-7-08) pdf
New Provider Enrollment Policy pdf

2008 Medicaid In The Schools Profiles

The following profiles represent the total Medicaid reimbursement for related services and administrative claiming for the 2008 school year.

School District Profiles pdf
Education Service Cooperative Profiles pdf
State Agency Profiles pdf
Overall State Profile pdf

Electronic Medicaid Claiming Program

Starting July 1, 2007, a new electronic billing system will be available for Arkansas school districts and education service cooperatives (ESC). Through a partnership between Medicaid In The Schools (MITS) and Computer Automation Systems, Inc (CAS), districts and ESCs will now have a choice when billing for Medicaid reimbursable services. The new software will provide school districts and ESCs with many benefits including:

Please call MITS toll free at 1-866-280-8300, option 1 if interested in participating in the new program, participating in a scheduled regional training or scheduling a regional training at your district.

National Provider Identifier (NPI)

By May 23, 2007, all public education agencies, service providers contracting with schools, and individual practitioners with Medicaid provider numbers must have a National Provider Identifier (NPI). The NPI is a federal Administrative Simplification mandate of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The purpose of this identifier is to replace current identifiers associated with Medicaid and other health plans establishing one nationally recognizable number for each provider. Public education agencies, as well as all other providers, that do not obtain the NPI number by the date above will not be able to bill for services until the number is received.

View Commisioner’s Memo (LS-07-067)
NPI Overview pdf
NPI Instructions for School Districts - Educational Service Cooperatives pdf
NPI Instructions for School Therapy Employees and Private Providers pdf
NPI Billing Tips pdf

NPI Help Desk: 1-866-311-5502 (Local 501-301-7611)

1-800-457-4454 (Local 501-376-2211)
Option 1: EDI
Option 2: PAC
Option 3: Provider Enrollment

Arkansas Medicaid Administrative Claiming (ARMAC)

Please view the following PDF files for information related to the Arkansas Medicaid Administrative Claiming (ARMAC) program. 2008/2009 School Year Information: Quarter II Important Dates pdf Quarter I Statewide Summary pdf General Program Information: 2009 School Year ARMAC Training Information pdf ARMAC Post Test (Updated 10/13/08) pdf ARMAC Resource Guide (Updated 1/18/07) pdf ARMAC Time Study System: ARMAC Time Study System (Password Required) Contact Information : armacsupport@arkansas.gov

2008 Medicaid In The Schools (MITS) Summit

The 2008 Medicaid In The Schools (MITS) Summit presented at the Wyndham Hotel in North Little Rock, Arkansas, on January 24th and 25th, 2008, was a huge success. More than 230 people attended the conference this year. We have linked the presenter's PowerPoint presentations below for your review.

	ARMAC - Where Do We Go From Here?
	ARMEA - Arkansas Mental Health in Education Association / Handout
	Audiology as a School-Based Service
	Coordinated School Health Component: Health Services
	EDS Billing Seminar for School-Based Services
	Getting Paid for Vision and Hearing Screenings
	Mental Health Supports for Students with Asperger's Syndrome
	National Picture of School-Based Medicaid Programs
	Personal Care in the Schools
	Related Service Tracker Demonstration: SEAS Electronic Medicaid Billing Program
	To Assess or Not Assess? No Question About it - You Have to Assess for Transition Planning

Parental Consent to Release Personal Identifiable Information

Until further notice, the consent link below can be used by Local Education Agencies (LEA)s to grant parental permission to share personal identifiable information located in educational records used when accessing Medicaid for services provided to students. When LEAs are accessing Medicaid for services provided to students, it is advised that a consent be signed by the parent or guardian. If the completed consent cannot be obtained by the above date, then the district should refrain from billing until the consent is signed by the parent/guardian. Consent to Release Personal Identifiable Information (2008-09 School Year) Consentimiento de los padres para dar información personal identificable (2008-09 School Year)

School-Based Services

The following services, listed on the IEP, are reimbursable through Medicaid when medical necessity guidelines are met. Please click on the links below to learn more about the school-based services.

EPSDT  Vision and Hearing Screens (Updated 8-1-07) pdf
Personal Care (Updated 1-18-07) pdf
Physical/Occupational Therapy and Speech-Language Pathology pdf
Private Duty Nursing pdf
School-Based Mental Health pdf
Targeted Case Management pdf

Medicaid Outreach for Public Education Agencies

Act 882 of the 2005 Regular Session requires public education agencies to establish a program to inform students and families about the ARKids First program. The components associated with Medicaid outreach and Medicaid eligibility determination are two of the activities included in the Arkansas Medicaid Administrative Claiming (ARMAC) program. Enrolled public education agencies are able to receive reimbursement for the costs associated with these activities. Please view the section above dedicated to the ARMAC program.

ARKids Application pdf
ARKids Eligibility Guidelines
ARKids Benefits
ARKids Questions
DHHS County Offices

Applications

Medicaid Application pdf
Medicaid Application Directions pdf
Medicaid Application Directions for Therapists (5/08) pdf
School-Based Mental Health Application pdf

Resources / Forms / Updates

Practitioner Identification Number Request Form (DMS-7708) (8/08)
Common Billing Issues for Schools Claiming Medicaid Reimbursement (7/08) ppt
How to Maximize Medicaid Money in Your School District (7/08) pdf
Medicaid Reimbursement for Vision and Hearing Screens (9/07) pdf
Arkansas Association of School Business Officials Presentation (3/6/07) pdf
Quarter I ARMAC WebX Program Update pdf
Early and Periodic Screening Data Sheet pdf
ARMAC Presentation - Special Show 2006 pdf
MITS Presentation - Special Show 2006 pdf
Adjustment Request Form
PES Handbook pdf
Personal Care Training Curriculum pdf
Personal Care Training Checklist pdf
Personal Care Supervision Checklist pdf
Medicaid/EDS Contact Log pdf
Renewal Form for School-Based Therapists pdf
Parent Education Handout pdf
EDS Billing Contacts
Quickfacts pdf
Medicaid Update - The Impact of HIPAA doc
School-Based Mental Health Newsletter pdf
School-Based Mental Health Proceedings pdf
Medicaid Resource Follow-up Report pdf
HIPAA Definitions pdf
AFMC Medical Necessity Training pdf
Medicaid Menu of Services for School-Age Children pdf
What's New with School-Based Mental Health pdf
ARMAC 101: pdf
Coordinated School Health pdf
Current Trends with Medicaid In The Schools (MITS) pdf
2007 School District Profiles pdf
2007 Education Service Cooperative Profiles pdf
2007 State Agency Profiles pdf

Medicaid Match Adjustment Process

As noted in Commissioner’s Memo LS-07-041, The Arkansas Department of Education (ADE), Special Education Unit, and the Arkansas Department of Health and Human Services, Division of Medical Services (DMS), have jointly developed a new process for Local Education Agency (LEA) quarterly Medicaid match payment documentation and adjustments

Beginning with the Quarter ending September 30, 2006, LEAs will be required to submit an EDS Claim Adjustment Form to correct any errors listed on the quarterly Medicaid statement. In the past, LEAs have highlighted the corrections on the match statement and subtracted the amount of dollars associated with the needed correction from what they owe Medicaid for that time period. LEAs are now instructed to submit the entire amount of match owed for the quarter along with the EDS Claim Adjustment Form to the ADE. Please view the step-by-step process below:

• ADE receives the quarterly Medicaid match data from DMS. ADE records the data and sends the quarterly Medicaid match statements to the LEAs.
• LEAs receive and review the match statement. During the review, if any adjustments are needed (ex. Not the LEA’s student, LEA didn’t bill for these services), then the EDS Claim Adjustment Form will need to be completed. When necessary, several adjustment entries can be made on one form.
• LEAs will then submit a check for the entire Medicaid match amount indicated on the statement and the EDS Claim Adjustment Form to the ADE. In cases when the LEA does not submit a check for the entire match amount or does not submit an EDS Claim Adjustment Form (when needed), the ADE will contact the LEA to correct the issue.
• ADE will then record any corrections; complete a receipt for the match amount received, and forward the check and EDS Claim Adjustment Form to DMS.
• Upon review, Medicaid will credit the disputed amount to the LEA account. All such credits accepted by DMS will be seen on the subsequent quarterly statement.

Please use the following link to access the required adjustment form:
EDS CLAIM ADJUSTMENT FORM pdf

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