Robinson said school districts can leave a large paper
trail and some school districts have been audited and had to give money back, leaving them gun shy about reapplying. “There is always a larger preponderance of human
error with paper processing and federal Medicaid regula- tions require exact student schedules, ridership times and driver and attendant team signoff,” she explained. “All of which is made easier and more reliable with the use of available technology.” She said failed audits have resulted from district
personnel not understanding what is and what is not allowable. As an example, Robinson said that in several states speech therapists filed Medicaid claims in addition to overall claims submitted by the school district under IDEA, which resulted in double dipping. “Another example is not being aware of the qualifica-
tions of the people who should be providing Medicaid services,” Robinson said. “A certified bus driver and attendant, a licensed speech therapist, and licensed
counselors are all acceptable for providing Medicaid services to and from a Medicaid eligible service on spe- cific service days. However, unverified, non-certified or unlicensed related service providers are not acceptable, and those claims will be turned back.” Theresa Anderson consults on Medicaid issues in
Colorado and agreed that participation in the reimburse- ment program depends on a school district’s resources. She said she is squarely in favor of taking advantage of the available technology to maximize the chances of qualifying. “But unfortunately, most school districts choose the
paper trail,” she observed. “Smaller districts may not have the resources to get the technology.” Anderson, who is also the Region 5 director for NAPT,
added that she thinks some transportation personnel are intimidated by technology that is available to help school districts track Medicaid-eligible students and services, or they simply do not trust the extracted data because they feel overwhelmed by the sheer volume. She said some
MEDICAID
Directors/supervisors who say their district receives Medicaid reimbursement.
69% (Out of 80 responses.)
Directors/supervisors who say they know what riders and services are eligible for Medicaid reimbursement.
60% (Out of 80 responses.)
Directors/supervisors who say they are currently leveraging technology to track Medicaid- eligible students.
28% (Out of 78 responses.)
44 School Transportation News • MARCH 2022
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