Articles for Administrators

IDEA/Medicaid Parental Consent relates to the sharing of student specific information in the process of billing Medicaid for services provided under the Ohio Medicaid School Program. Parents have the right to non-consent to the sharing of this information. Therapists should document for all IEP students served, but only the services for Medicaid eligible students that have a signed consent will be processed by HBS.

There are two parts to the required IDEA/Medicaid Parental Consent. The first part requires that an annual Parental Notification Form be provided to parents that inform them of their rights under IDEA. The second part is a one-time signed Parental Consent Form (ODE PR-10) that must be signed by the parent.

To fully comply with this new IDEA requirement, the following procedure should be followed:

• At the initial ETR meeting, where the parent is signing the PR-05 “Parent Consent for Evaluation”, have the parent also sign the PR-10 “Parent Consent to Share Health Information”, and give them a copy of the Parental Notification Form. Send the signed Parental Consent Form to HBS.
• At the Annual IEP Review, provide the parent with a copy of the Parental Notification Form.
• On a quarterly basis, HBS will provide the district with a list of IEP Medicaid students currently receiving services that HBS does not have a signed Parental Consent Form on file. Districts should try to obtain a signed Parental Consent Form for those students listed so that Medicaid claims can be processed.

If you have any questions, please contact:

Healthcare Billing Services, Inc.
55 High Street
Carroll, Ohio 43112

(740) 639-4218
Doug Thomas (dethomas@teamhbs.com)

This is one of the most critical components of MSP in that the RMTS percentage is an integral part of the year-end cost report computation, and has a direct affect on all districts final MSP reimbursement. The data gathered through RMTS provides a statewide average of time spent performing direct service activities, administrative activities, and targeted case management activities.

The 4th quarter RMTS will begin April 1 and continue through June 30. If selected, district employed providers need to complete their moment. (Contracted providers are excluded from RMTS.) Even if you are a part-time provider not scheduled in the district on the date/time you have been selected, or if your district is experiencing a calamity day, please take the time to answer the three questions required to complete your moment.

It is better to at least answer the moment with non-reimbursable activities than to ignore it and not answer it at all. One of the requirements of MSP is to have a RMTS compliance rate of at least 85%. We were very pleased to hear from ODE that the RMTS compliance rate for 2nd quarter was 87.7%.

In addition, it is also important to notify HBS if you have providers on your RMTS list that go on medical leave, maternity leave, etc. If we know this, we can excuse them from any moments that they may receive during their absence.