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Medicaid Consent

Becky 9/18/06 On the medicaid parent permission form it states that it would not impact the family's existing benefits or impact their access to any services, however when the AEA bills for school based services it may interfere with outpatient services and their cap. Should we be informing the parents of this when asking them to sign the form? Is there a new form in the works--our staff are a little concerned that it states it will not impact their access to any services, as they've been told by families they serve that because of their OT/PT/SLP services in school, their outpatient services were not covered by medicaid.
Dann Stevens 9/25/06 While Medicaid policy does not allow for two similar services to be provided on the same date, the AEA services would be the one not reimbursed by Medicaid. There would not be an impact on the outpatient services. This is due primarily because the time lag involved in the AEA claim processing is much longer than that of the private service provider. Medicaid would reimburse the first claim (that of the private provider) and then deny the AEA claim, should the service dates be the same and the procedure code be the same.



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