ERIC Number: ED392532
Record Type: RIE
Publication Date: 1995-Dec-1
Reference Count: N/A
School-Based Health Services: Administrative Rules.
Oregon State Dept. of Human Resources, Salem.
This manual outlines the State of Oregon's program to reimburse medical providers furnishing health services to students with medical disabilities in special education settings. The program was established to comply with federal provisions of the Individuals with Disabilities Education Act of 1990. The guide will assist school personnel in preparing billings to the Office of Medical Assistance Programs (OMAP) for eligible Medical Assistance Clients participating in the Oregon Health Plan. The sections of the guide are: (1) Program Information, including definitions, provider requirements, enrollment provisions, and services not covered; (2) Billing and Payment, including electronic billing, completion of claim forms, and adjustment requests; (3) Procedure Codes; (4) Accounting, Recordkeeping, and Audits, including record confidentiality; (5) Addendum, including legal basis for Medicaid reimbursement, school-based mental health services, and ICD-9 (International Classification of Disease) code requirements; (6) Medicaid Questions and Answers, including history, screening, and examples of acceptable documentation; and (7) Forms. (RB)
Publication Type: Guides - Non-Classroom
Education Level: N/A
Audience: Practitioners; Administrators
Authoring Institution: Oregon State Dept. of Human Resources, Salem.
Identifiers: Individuals with Disabilities Education Act; International Classification of Diseases; Medicaid; Oregon Health Plan; Reimbursement Programs; Rules and Regulations