School-Based Services. The State uses the School-Based Health Services Program to obtain Medicaid reimbursement for medical services provided by schools to eligible students. To be eligible, the students must be enrolled in Medicaid, receiving special education services, and receiving Medicaid-billable services. School districts can claim reimbursement under the Program only for those students on an individualized education program (“IEP”) and not for students on 504 plans. A release of protected health information for each eligible student is required before any claims can be processed. The parent or guardian has the right to refuse to give consent to such a release. In such case, the school district cannot claim Medicaid reimbursement for any services provided to that student. Additionally, a Vermont Medicaid enrolled physician or a nurse practitioner must sign a physician authorization form, establishing that the IEP services are medically necessary. Federal Individuals with Disabilities Education Improvement Act (“IDEA”) statutes and regulations govern the process for assessing needs and developing the IEP. Separate Agency of Education (AOE) due process and appeals procedures apply when there is a disagreement concerning the services included in the IEP. Parents of a child receiving special education services who disagree with decisions made by the school regarding a child’s identification, eligibility, evaluation, IEP or placement have three options available under the AOE procedures for resolving disputes with the school: mediation, a due process hearing and/or an administrative complaint. The Agency of Education due process and appeals procedures also apply to Global Commitment services authorized under Part C of IDEA. DVHA will ensure that coverage policies for outpatient drugs as defined in section 1927(k)(2) of the Social Security Act (SSA), meets the standards for such coverage imposed by section 1927 of the SSA. DVHA will: • Collect drug utilization data that is necessary for States to bill manufacturers for rebates in accordance with section 1927(b)(1)(A) of the SSA Act no later than 45 calendar days after the end of each quarterly rebate period. Such utilization information must include, at a minimum, information on the total number of units of each dosage form, strength, and package size by National Drug Code of each covered outpatient drug dispensed or covered by the MCO, PIHP, or PAHP, including procedures to exclude utilization data for covered outpatient drugs...
School-Based Services. The benefit package includes counseling, evaluation and therapy furnished in a school-based setting, but not when specified in the Individualized Education Plan (IEP) or the Individualized Family Service Plan (IFSP), as detailed in the Medical Assistance Program Manual 8.320.6 NMAC, SCHOOL BASED SERVICES FOR RECIPIENTS UNDER 21 YEARS OF AGE.
School-Based Services. The Contractor shall reimburse OHCA-enrolled qualified schools as providers of health-related services for all SoonerCare covered benefits for which the Contractor is responsible. Contractor must also contract with Independent School Districts to reimburse qualified schools for all SoonerCare covered benefits for which the contractor is responsible.
School-Based Services providing counselors which are assigned to public schools to assist with problematic and at-risk students and providing services which include teacher training, individual counseling, logical consequence training, anger management training, gang awareness, and drug and alcohol abuse prevention.
School-Based Services. Contractor shall provide school-based services for Title XXI Children. Revised 10-01-01 Final Jun 7-01 Effective 7-01-01 Page 2 of 10
School-Based Services. Educationally Related Mental Health Services (ERMHS) are provided through coordination with the Special Education Local Plan Area (SELPA) based on needs identified on the client’s Individual Education Plan (IEP). ERMHS through EPDST are delivered through a partnership within Mendocino County. CONTRACTOR will provide medically necessary EPSDT services to students attending the Xxx Creek Program.
School-Based Services. Forty-seven Boards (47) supported mental health services in 380 Ohio school districts through funding and cross-system collaboration on resource alignment. As the total number of school districts is reported by Ohio Department of Education (ODE) at 611, these data indicate that 62% of all school districts in the state are open to some form of mental health programming. Services were located in 1,475 school buildings. As the total number of school buildings is reported by ODE at 3,610, these data indicate that 41% of all school buildings in the state provide some form of mental health programming.
School-Based Services. School-based services are those Medicaid services provided in school districts to Medicaid eligible children under the age of 21. Medicaid providers of these services will continue to be reimbursed fee-for-service for these services. The Contractor shall at a minimum have written procedures for promptly transferring medical and developmental data needed for coordinating ongoing care with school-based services.
School-Based Services. The benefit package includes counseling, evaluation and therapy furnished in a school-based setting as part of the pilot project, entitled “Linking School-Based Health Centers with Salud!” as referenced in 8.305.615.B, but not when specified in the Individualized Education Plan (IEP) or the Individualized Family Service Plan (IFSP), as detailed in the Medical Assistance Program Manual 8.320.6 NMAC, SCHOOL BASED SERVICES FOR RECIPIENTS UNDER 21 YEARS OF AGE.
