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ERIC Number: ED342575
Record Type: Non-Journal
Publication Date: 1991-Mar-17
Pages: 12
Abstractor: N/A
Reference Count: N/A
Rural Special Education and Medicaid: Meeting A Challenge for the 1990s.
Feild, Charles R.; And Others
This article reviews the development of Medicaid (MA) reimbursement for medically related special education (SE) services and describes a MA assistance project for schools in Arkansas. The 1988 Medicare Catastrophic Coverage Act (Public Law 100-360) allowed medically related special education services to be covered by MA. However, schools have been slow to participate in the MA program for SE. The University of Arkansas Department of Pediatrics developed an MA program for public schools. The Medical College Physicians Groups (the faculty practice billing system) files claims on behalf of schools districts using MA provider numbers assigned to each school district. Electronic data transfer between the billing system and the MA claims processor allows rapid reimbursement of schools. A fee is charged to cover costs based on a percentage of the amount billed. During the first year of the project (1989-1990), 23 of the 325 Arkansas school districts participated in the project. The project billed for 297 students yielding $76,161 in reimbursements, 83 percent of the claimed amount. The mean claim per year per student of the project schools is $256, lower than a statewide average reimbursement of $1,133 per MA eligible schoolchild. Improved coordination between Medicaid and special education programs addresses problems in funding relating services. It is anticipated that related services funded by MA will expand to include psychometric testing, counseling services, skilled nursing care, and other services. (KS)
Publication Type: Speeches/Meeting Papers
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Arkansas