Medicaid Billing for Student-Based SLPs
Available July 1-31
Members: $10
Non-Members: $60
Program materials will be distributed via email July 1, 2024
Description
Representatives from MassHealth’s School Based Medicaid Program (SBMP) and UMass Chan Medical School’s Center for School Based Claiming, will provide an overview of program requirements and respond to questions.
Presenters
Margot Tracy
Emily Hall
Learner Outcomes
The participants will be able to:
1. List expectations of an SLP participating in SBMP
2. Describe Direct Service Claiming (DSC)
3. List and apply reimbursable services and requirements to SLP, including Medical Necessity ICD Diagnosis and/or Signs and Symptoms Codes
4. Describe Plan of Care - Medicaid Service Authorization
5. List minimum Service Documentation elements
6. Find resources for additional information and training on the SBMP website
Time-Ordered Agenda
5 minutes: Introductions, Agenda Overview, Housekeeping
5 minutes: What is expected of an SLP participating in SBMP?
10 minutes: What is Direct Service Claiming (DSC)?
25 minutes: Reimbursable Services & Requirements Medical Necessity ICD Diagnosis and/or Signs and Symptoms Codes
10 minutes: Plan of Care – Medicaid Service Authorization
15 minutes: Service Documentation
10 minutes: Interim Claims & Billing Forms
10 minutes: Random Moment Time Study Tips for Direct Service Practitioners
30 minutes: Q&A
About the Presenters
Margot Tracy is the manager for the MassHealth School Based Medicaid Program (SBMP). She has Prior to her role in SBMP, she worked in the Executive Office of Health and Human Services under the Children’s Behavioral Health Initiative (CBHI). She holds a Masters in Public Health from the Harvard T.H. Chan School of Public Health..
Emily Hall - As director of School-Based Medicaid Programs at the University of Massachusetts Chan Medical School, Ms. Hall has worked in and managed the administration of school-based Medicaid programs for Massachusetts for the past 15 years. She has experience in a variety of school-based Medicaid reimbursement methodologies with particular expertise in cost-based reimbursement. Prior to coming to UMass Chan, Ms. Hall had over 20 years of experience in the health insurance industry, as well as in health care delivery systems and hospitals and in Medicare managed care program administration. Ms. Hall earned her Master of Business Administration from Suffolk University and her bachelor’s degree in Political Science, Public Policy and Economics from the University of Massachusetts at Amherst.
Disclosure Statements
Margot Tracy
Financial: Margot receives a salary as an employee of the State of Massachusetts as the manager of the Mass Health School Based Medicaid Program.
Non-financial: No non-financial relationships exist.
Emily Hall
Financial: No financial disclosure exists.
Non-financial: Emily is volunteering her time for this presentation.
ASHA requires participation in the CEU Registry to receive CEUs. If you are not part of ASHA’s CEU Registry, the Certificate of Completion will serve as documentation for ASHA CMHs.
ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.
If you have any questions, contact our office at 781-647-7031 or by email at theoffice@mshahearsay.org.
