Washoe Country School District
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Medicaid
Why is the school district billing Medicaid?
The Individuals with Disabilities Education Improvement Act (IDEIA) allows some Individual Education Program (IEP) services to be covered by Medicaid. School districts can optomize the use of financial resources by billing Medicaid.
What is timely filing?
The WCSD can only submit claims for Medicaid billing within 180 days from the date of service in order to receive reimbursements; after that deadline, a claim will be denied for timely filing.
Why do schools need parental consent to bill for Medicaid claims?
Schools are required by the Family Educational Rights and Privacy Act (FERPA) to obtain parent consent before disclosing information about a student with a disability. This includes providing information to Medicaid. The school needs parental consent to help offset the costs of services.
What is the procedure for having parents sign the Medicaid parent consent form?
The Consent for Release of Information and Medicaid Reimbursement form (SSS-F009) is found on the CSI website. After you have conducted an IEP or Revision, ask the parent if their child is eligible for Medicaid. All parents should be asked if their child is Medicaid eligible. Explain that both students and the school district will benefit from the use of financial resources by billing for Medicaid or the Nevada Check-Up program. Because there could be a cost incurred by the family, schools do not bill private insurance for IEP's or related services. Signing the parent consent form will not effect or reduce the family's private insurance benefits or other Medicaid services received by the family.
If the child is eligible and the parents agree, fill out the top portion of the parent consent form, include the student's full name, the IEP date, and have parents sign and date the bottom. Fax a copy of the form to the Medicaid department through the Easy IEP fax number, 866-299-8199.
If the parents refuse to sign the Medicaid parent consent form, check "consent not obtained," fill out the top portion of the form including the student's full name, date of birth, and IEP date and fax a copy of the form to the Medicaid department.
If the child is not eligible for Medicaid, ask parents to sign the form, fill out the top portion of the form including the student's full name, date of birth, and IEP date and fax a copy of the form to the Medicaid department.
Consent for Release of Information and Medicaid Reimbursement – SSS-F009
Student Support Services Medicaid Link
