August 1-31, 2025
Members: $10
Non-Members: $60
Program materials will be distributed via email August 1, 2025
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
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
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.
Discrimination Policy:
MSHA does not discriminate against students, parents, employees or the general public on the basis of race, color, sex, homeless status, gender identity, religion, national origin, sexual orientation, disability, or age. MSHA is also committed to maintaining an educational environment free of harassment. Harassment based on race, color, religion, national origin, gender, sexual orientation, gender identity, homeless status, age or disability is prohibited. In addition to the protected classes identified above, as to employment practices, MSHA also does not discriminate based on genetic information, ancestry or status as a veteran.
Accommodations for Persons with Disabilities:
We want to provide the best learning experience for everyone. In compliance of the ADA, should you require any accommodation to fully participate in this training, please contact theoffice@mshahearsay.org or call 781-314-9517.
Continuing Education Credits:
Satisfactory Completion Requirements for ASHA CEU’s
ASHA CEU’s will be awarded after active attendance at the entire presentation documented by log in log out times, submission of a completed evaluation and submission of a completed assessment of learning. There is no partial credit. A link to the Assessment and Evaluation will be sent out following the program.
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.
Interested in sponsoring this event? Please consider partnering with us for this worthwhile experience. If you have any questions, contact our office at 781-647-7031 or by email at theoffice@mshahearsay.org.
