SPECIAL EDUCATION Professional Development Policy 2419/Medicaid/IEP.
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Transcript of SPECIAL EDUCATION Professional Development Policy 2419/Medicaid/IEP.
SPECIAL EDUCATION Professional Development
Policy 2419/Medicaid/IEP
OPENING REMARKS
Todays Agenda
Policy 2419
Medicaid Training
General IEP Topics
Breakout IEP Sessions
Points of Interest
Atmosphere of collegiality
Focus on what matters
Focus on who matters
Don’t sweat the small stuff
Housekeeping
Stipends will be paid based on your signature AM/PM
Lunch Protocol
Room Assignments
Technology Use
Refreshments
Ticket Out the Door
POLICY 2419
• Hot Topics• Need to Know• Big Changes
• I Never Knew That
MEDICAIDRevisions and Procedures
MEDICAID Revisions
Effective October 1, 2014
Under new management - Public Consulting Group (PCG)
Hired by Feds to bring an efficiency model to Medicaid
States must comply with Section 1915(g) of the Social Security Act
Targeted Case Management (TCM) is the result of this mandate
Why do we bill Medicaid?
Positions Count Avg. Salary Total AVG. SalariesAnnual IDEA
Allotment Medicaid (25%) County FundsCentral Office 27 $65,000.00 $9,750,000.00 Teachers 150
$4,000,000.00 $1,200,000.00 $6,650,000.00Aides 60 $35,000.00 $2,100,000.00
Totals 237 $11,850,000.00 $7,850,000.00 $6,650,000.00 $0.00
ALL STAFF 80 Staff 24 Staff 133 Staff
Note: the other 75% of Medicaid Reimbursements are considered “County Funds”
How are we going to face this challenge?
Old Model – 1 unit yielded 70$
Old Model – You billed for 3-6 units per month
New Model – 1 unit yields $10 dollars
New Model – Attempt 7-10 units per month
Calculation Logic Statement
IF: 1 Unit = 10$
AND: 1 Unit = 15 minutes
THEN: 15 minutes = 10$
QUIZ:
If you send 1.5 hours preparing an IEP for the Annual review, how many units may you claim on the TCM form?
ANSWER
1.5 hours = 6 billable units
6 units = 60$
Documenting Your Time
TCM FORM
Demographic Information
• Will be provided to you from the Office of Special Programs• Must be completed in full prior to submission
Date of Service
• The last date service occurred prior to completing this form• Must be in chronological order
EXAMPLE SCENARIO: I spent 25 minutes on 10/31 compiling behavior notes in preparation for an IEP meeting associated to a recent behavior incident.
10/31/2014
Type of Contact
EXAMPLE SCENARIO: I spent 25 minutes on 10/31 compiling behavior notes in preparation for an IEP meeting associated to a recent behavior incident.
1 Face to Face – Meeting with anyone (other than the student) pertaining to the students needs
2 Correspondence – Any written narratives pertaining to the students needs3 Phone Conference – Discussion by any means with any stakeholders in
the students needs
10/31/2014 2
TCM Activity
EXAMPLE SCENARIO: I spent 25 minutes on 10/31 compiling behavior notes in preparation for an IEP meeting associated to a recent behavior incident.
A. AssessmentB. IEP/Service PlanC. Linkage/ReferralD. AdvocacyE. Crisis PlanF. IEP EvaluationG. Monitoring
10/31/2014 2
F.
Notes:• Cannot exclusively use “F” for all TCM
Notes• If “G” is chosen it must be in reference to
a previously billed activity. (A-F)
Time In
EXAMPLE SCENARIO: I spent 25 minutes on 10/31 compiling behavior notes in preparation for an IEP meeting associated to a recent behavior incident.
10/31/2014 2
F. 3:15 pm
• Must be documented in the following format hh:mm am/pm• Must be presented in chronological order
Time Out
3:40 pm
10/31/2014 2
F. 3:15 pm
EXAMPLE SCENARIO: I spent 25 minutes on 10/31 compiling behavior notes in preparation for an IEP meeting associated to a recent behavior incident.
• Must be documented in the following format hh:mm am/pm• Must be presented in chronological order
Total Minutes
EXAMPLE SCENARIO: I spent 25 minutes on 10/31 compiling behavior notes in preparation for an IEP meeting associated to a recent behavior incident.
3:40 pm
10/31/2014 2
F. 3:15 pm
25
QUIZ: How many units may be billed for this service?
DO YOU REMEMBER?
TCM Note
EXAMPLE SCENARIO: I spent 25 minutes on 10/31 compiling behavior notes in preparation for an IEP meeting associated to a recent behavior incident.
3:40 pm
10/31/2014 2
F. 3:15 pm
25
Compiled behavior documentation in preparation for an IEP meeting to discuss further revision of the students Behavior Plan
The note should consist of the following parts;
1 Action Performed 2 Why Performed 3 Outcome Achieved
Signature and Credentials
3:40 pm
10/31/2014 2
F. 3:15 pm
25
Compiled behavior documentation in preparation for an IEP meeting to discuss further revision of the students Behavior Plan
You must sign each note with your credentials
You may use a digital image file or traditional signature
Date
3:40 pm
10/31/2014 2
F. 3:15 pm
25
Compiled behavior documentation in preparation for an IEP meeting to discuss further revision of the students Behavior Plan
11/08/2014
• The date of each note should fall in a logical and sequential order• The date should follow the traditional mm/dd/yyyy format
Additional Supports
Technical Assistance
BREAK TIME15 Minutes
General IEP TopicsRequired Forms and Procedures
Meeting Preparation
Meeting Notice
Draft IEP
In Lieu of Documentation
Timeline Adherence
Supporting Documentation
Behavior Plans
Individualized Education Program
Attendees
ESY
Considerations
Placement
LRE Considerations
Statewide Testing Accommodations
PWN
What is FERPA
The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99) is a Federal law that protects the privacy of student education records. The law applies to all schools that receive funds under an applicable program of the U.S. Department of Education.
Pertains to all educational documentation associated to a specific individual. Permanent Records IEP Records Teacher Notes Discipline Files Emails/Texts Etc.
Parent and Student Rights
Right to inspect and review records upon request
Right to request correction of inaccurate data
Right to expect confidentiality in the handling and transmission of records
School Responsibilities School officials with legitimate educational
interest;
Other schools to which a student is transferring;
Specified officials for audit or evaluation purposes;
Appropriate parties in connection with financial aid to a student;
Organizations conducting certain studies for or on behalf of the school;
Accrediting organizations;
To comply with a judicial order or lawfully issued subpoena;
Appropriate officials in cases of health and safety emergencies; and
State and local authorities, within a juvenile justice system, pursuant to specific State law.
Schools must have written permission from the parent or eligible student in order to release any information from a student's education record. However, FERPA allows schools to disclose those records, without consent, to the following parties or under the following conditions (34 CFR § 99.31):
ReviewPolicy 2419
Medicaid
General IEP Review
Confidentiality (FERPA)
Report to Breakout by 1:00 pm
Enjoy Your Lunch