COMMONWEALTH OF VIRGINIA
DEPARTMENT OF EDUCATION
P. O. BOX 2120
RICHMOND, VIRGINIA 23218-2120
SUPTS. MEMO. NO. 155
October 10, 1997

INFORMATIONAL

TO: Division Superintendents
FROM: Richard T. La Pointe
Superintendent of Public Instruction
SUBJECT: New Services Added to Special Education Medicaid Billing Program

 
  The Department of Medical Assistance Services (DMAS) will be
  adding two (2) services to the special education Medicaid
  billing program.  Billing for certain Individualized
  Education Program (IEP) meetings and for skilled nursing
  services will be allowed.

  No changes in school division IEP procedures are necessary
  to bill Medicaid for IEP meetings.  There are, however,
  certain conditions under which billing for the IEP meetings
  are allowed. More detailed information will be sent under
  separate cover to school divisions enrolled in the Medicaid
  billing program.

  Federal policy (Report 100-661 of the Medicare Catastrophic
  Coverage Act - P.L. 100-360) requires that special education
  services which are billed to Medicaid be included in the
  IEP.  If a school division wants to bill Medicaid for
  skilled nursing services, additions to the IEP for some
  school divisions may be necessary.  School divisions will
  need to include the skilled nursing services in the service
  delivery section of the student's IEP in order to meet
  Medicaid requirements.  The type of service, the provider,
  and the frequency must be included in the IEP.  Only those
  school divisions who want to bill Medicaid for skilled
  nursing services need to make changes.  Skilled nursing
  includes services such as: nursing assessment,
  catherization, tracheostomy care, tube feedings, medication
  administration, glucose monitoring, etc.

  School divisions which are enrolled in the Medicaid billing
  program will receive detailed information concerning these
  two (2) new billable services.  School divisions wanting
  additional information may call Barbara Klear,
  School/Community Health Services Grants Specialist, Norfolk
  City Public Schools,  at (757) 441-1471.

  RTL:oml