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DISCUSSION POINTS

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Title: DISCUSSION POINTS


1
DISCUSSION POINTS
  • CONSENT CESA 4 AND GETTING IT
  • COST SETTLEMENT PROCESS IMPACT
  • DOCUMENTING SERVICES
  • KSYSTEMS CONSENT AND STAFF LIST.

2
CONSENT CESA 4
  • CESA 4 - INCORRECT GUIDANCE
  • INSTRUCTED DISTRICT TO RELEASE INFORMATION
    WITHOUT PARENTAL CONSENT
  • REFUSED TO DISCUSS
  • FILED COMPLAINT WITH DPI AND US DOE

3
CONSENT CESA 4
  • PARENT COMPLAINED ABOUT RELEASE
  • DPI HOLDING SCHOOL DISTRICT ACCOUNTABLE
  • DPI REFUSES TO TAKE ACTION AGAINST REPONSIBLE
    CESA STAFF CLAIMING THEY DON'T KNOW WHO WAS
    IMPACTED
  • WE WILL PURSUE FURTHER

4
IMPACT OF NEW PAYMENT PROCESS
  • PAYMENT NOT BASED ON BILLED SERVICES
  • SERVICE PAYMENT NOT BASED ON PROVIDED SERVICES
  • TRANSPORTATION REQUIRES TRACKING ALL SPECIALIZED
    TRIPS AND SERVICES.

5
IMPACT OF NEW PAYMENT PROCESS
  • PAYMENTS ONLY BASED ON
  • COST POOL X
  • RMTS FOR DIRECT SERVICES X
  • OF MEDICAID ELIGIBLE STUDENTS IN WITH IEPs

6
(No Transcript)
7
NEW PAYMENT PROCESS
  • TRANSPORTATION BASED ON
  • SPECIAL TRANSPORTATION FOR ALL MEDICAID IEP
    STUDENTS ON DAYS THEY GET COVERED SERVICES (A)
  • COMPARED TO SPECIAL TRANSPORTATION FOR ALL IEP
    STUDENTS ON DAYS THEY GET MEDICAID COVERED
    SERVICES. (B)
  • PAYMENT IS BASED ON TOTAL TRANSPORTATION COST X
    PERCENTAGE PRODUCED BY A/B

8
NEW PAYMENT PROCESS
  • THE BIG PROBLEM
  • PAYMENTS ARE BASED ON THE STATE WIDE RMTS WHICH
    YOU HAVE NO CONTROL OVER
  • EVEN CONTRACT COST ARE ALLOCATED AND SHOULD NOT
    BE

9
NEW PAYMENT PROCESS
  • BILLING HAS
  • NOTHING TO DO WITH
  • PAYMENT!!!

10
NEW PAYMENT PROCESS
  • CHANGING WITHOUT THE STATE WATCHING THE IMPACT
    CAUSED OVERPAYMENTS
  • STILL NO CLEAR DIRECTION FROM STATE ON BILLING
  • WE ARE HOLDING BILLS UNTIL WE CAN DETERMINE WHAT
    THE ONGOING IMACT WILL BE
  • NEED TO TALK ABOUT OPTIONS

11
CONSENT WHAT TO DO
  • DO NOT SPEND TIME CHASING
  • DO ASK FOR IT IN IEP PROCESS
  • PROPERLY CODE IN KSYSTEM
  • WE ONLY BILL WHERE IT HAS BEEN OBTAINED.

12
SERVICE DOCUMENTATION
  • CONTINUE TO DOCUMENT
  • TRACK ALL SERVICES ON ALL CHILDREN WHO HAVE
  • IEP, AND
  • GET SPECIALIZED TRANSPORTATION

13
KSYSTEMS
  • CONSENT CODING
  • STAFF LIST

14
FUTURE CHANGES
  • WORKING WITH SEVERAL NATIONAL GROUPS AND OTHERS
    TO GET US DOE TO FIX ISSUE
  • TRYING TO GET STATE TO MOVE TO USING IGT FOR
    PAYMENTS MEANS
  • NOT COST REPORTING
  • NO RMTS
  • PAID FOR SERVICES PROVIDED
  • NO COST SETTLEMENT NO OVER PAYMENTS

15
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