GREAT
NEWS!
Background
In December 2007 the Centers for Medicare and Medicaid (CMS) published
Rule 2287 to abolish Medicaid payments for reimbursement of administrative
and transportation costs. Enforcement of the rule was delayed
by a moratorium until April 1, 2009. The moratorium was extended
to July 1, 2009. On
May 1, 2009 Rule 2287 was rescinded!
Bottom line
SCHOOL DISTRICTS AND SPECIAL EDUCATION COOPERATIVES WILL CONTINUE
RECEIVING MEDICAID FUNDS FOR REIMBURSEMENT OF THE COSTS OF ADMINISTERING
THE MEDICAID PROGRAM AND FOR SPECIAL EDUCATION TRANSPORTATION
COSTS.
Part 2
Late in 2008, the Illinois Department of Healthcare and Family
Services (HFS) announced its intention to select a company to
act as the state’s School-Based Health Services Program
Administrator. Among its responsibilities, the selected company
would conduct random moment time sampling throughout the state
to determine each agency’s participation and reimbursement
amount for costs of administering the Medicaid program in the
schools. The HFS announcement also stated that claims for administrative
costs would only be accepted from the newly created School-Based
Health Services Program Administrator.
At this time HFS has not made any announcement concerning the
request for proposal for a single statewide vendor. We expect
the department to issue an informational notice very soon that
either introduces the successful bidder, or permits LEAs to continue
using their selected billing agents to file claims beyond the
previously announced June 30th deadline.
Stay tuned!
