Agenda - 11-20-1990 - Laserfiche WebLink

Browse Search

I Specific Instructions for Medicaid Billing by Health Departments For the Period July - September 1 990 1. Identify those children served in the High Priority Infant Program who are covered by Medicaid. 2. Contact the area mental health center that serves the county to share names and avoid duplicate billing. (See relevant memo from Vitaglione and Whitaker.) 3. For Medicaid- covered children to be billed by the health department, billing should occur on the last working day of the month for all children in the active caseload. Children are considered "active" when they have been enrolled in the High Priority Infant Program and have received a face -to -face contact for enrollment /assessment purposes. Children remain "active" when confirmed contacts (face -to -face; telephone conversation; exchange of letters) occur at least quarterly. Billing may occur in months in which there is no confirmed contact. However, no more than two consecutive months without confirmed contacts may be billed. Example: At the end of July, billing may be submitted for children who have received confirmed contacts during July, June, or May. If a confirmed contact did not occur in this period, no billing at the end of July may occur. To bill for such children at the end of August, a confirmed contact would have to be made during that month. 4. Billing will take place through the HSIS Child Health Screen. You will receive instructions on how to complete the screen in the next release of updated HSIS software. Please note that the required changes in the HSIS software may not be available by July 31. Therefore, you will need to wait to enter your July billings until you receive the specific "go ahead ". 5. The negotiated monthly rate for child service coordination is $60. This is based on an estimated caseload of 50 children /families per full-time service coordinator. As actual experience is gained with child service coordination, the reimbursement rate will be based on a cost analysis. 6. For the initial months of service, approximately $40 per month, since tl be met by the provider. However, Mortality Reduction is passed by the requirements will be eliminated and health departments. health departments may receive ie state matching requirements must if the current bill on Infant General Assembly, provider match the full $60 will be received by 7. Documentation requirements are the same as for other services. The clinical record should include information on the identification and enrollment of the child, the results of child /family assessments, and notes regarding activities undertaken on behalf of the child /family. This includes not only direct family contact, but also contacts with other providers and agencies to facilitate care.