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DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING. August 2014. WHY ARE WE HERE?. DSC is a federal Medicaid program that allows school districts/charter schools to receive reimbursement for some services provided to students who have IEP’s and those services are prescribed in the IEP’s.

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DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING

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  1. DIRECT SERVICE CLAIMING (DSC) HEALTH AIDE TRAINING August 2014

  2. WHY ARE WE HERE? • DSC is a federal Medicaid program that allows school districts/charter schools to receive reimbursement for some services provided to students who have IEP’s and those services are prescribed in the IEP’s. • Reimbursement is possible when the student is covered by Medicaid (AHCCCS in AZ). The billing agency tracks this, NOT the individual providers. • Because it is a reimbursement program, the services provided must be documented by the provider of the service. Aides are providers!

  3. GENERAL HEALTH AIDE REQUIREMENTS • You must be certified in First Aid and CPR to claim for the DSC program (Do not claim if you’re not!). • You must apply for an AHCCCS ID. As long as you have applied for an AHCCCS # you can provide services before you get your AHCCCS number • You must be trained in any “targeted” ADL services you provide.

  4. HEALTH AIDE SERVICES • All services must be indicated on the current IEP of the student and include the scope , frequency and duration of service. • Check with the teacher(s) you are working with to verify that aide services are indicated on the students’ IEPs and the student’s needs for Activities of Daily Living are mentioned in the present levels. • Do not record unless you are sure services are on the IEP AND you have been given the necessary information from the Case Manager/Special Education teacher(s) regarding the scope of services that may be claimed.

  5. HEALTH AIDE SERVICES WHICH ARE NOT REIMBURSABLE • Academic Assistance and/or Tutoring is NOT a reimbursable service! • Needs and Services that are not documented on the IEP CANNOT be claimed! • You can contact the Medicaid Coordinator if you have any questions on the services you are providing.

  6. HOW TO USE THE INFORMATIONINCLUDED ON THE IEPDSC - HEALTH AIDE ASSISTANCESERVICES IN ACTIVITIES OF DAILY LIVING (ADL’S)

  7. ACTIVITIES OF DAILY LIVING ___ Eating/Feeding: Food preparation, setting up food, spoon feeding, food choices, washing hands and face, cleaning up after ones self. DO NOT BILL FOR TUBE FEEDING!! ___ Dressing: Buttoning and using a zipper, selecting appropriate clothing, putting on a sweater or jacket, discussing appropriate clothing for weather. ___ Toileting: Use of toilet/sink, ensuring cleanliness following elimination, feminine hygiene, diapering, draining/emptying a bag, washing up after elimination. ___ Transfers: Assisting with moving to a chair/wheelchair, moving from one chair to another, moving from a piece of equipment to another, may require use of equipment, e.g. Hoyer lift, sliding board, etc. NOTE: May be part of another ADL.

  8. ACTIVITIES OF DAILY LIVING ___ Positioning: Turning a student from back to side, using a wedge to keep student on their side, using a bolster to relieve pressure on a student’s back, elevating the leg rests on a wheelchair, putting a pillow behind the head of a student in a wheelchair, providing necessary care and comfort. NOTE: May be part of another ADL. ___ Mobility: Accompanying a student to class, assisting and accompanying between locations, assisting with wheelchair or walker. NOTE: May be part of another ADL. ___ Grooming: Combing/brushing hair, insertion and removal of contact lenses, or hearing aids, glasses care, keeping hair, hands and teeth clean. NOTE: May be part of another ADL. ___ Use of Assistive Devices: Communicative devices, standers, lifters, braces. The ADL’s you claim on the log MUST match what is documented in the IEP!

  9. COMPLETING THE DSC HEALTH AIDE SERVICE RECORD

  10. Random Moment in Time Survey

  11. RANDOM MOMENT TIME SURVEY (RMTS) • This is a state and federal program that allows school districts to receive reimbursement for the costs of routinely performing Medicaid Activities. • You will be randomly selected each quarter of the school year. You can be chosen more then one time per quarter. • This program is done all electronically through email. You will be required to check your Kyrene Email weekly to see if you have been chosen to participate.

  12. Random moment in Time Survey • An Email will be sent to your Kyrene Email from azmac@pcgus.com(Not from the Medicaid Coordinator) • You will receive an email 4 days prior to your moment, telling you when your moment it. • You must fill this moment out within 24 hours of your moment. • If you do not fill this moment out another email will be sent to you and the Medicaid Coordinator, as a reminder.

  13. Random Moment in Time Survey • This program will take you less then 5 minutes to do. • There are 4 questions for you to fill out. • YOU MUST FILL OUT ALL 4 QUESTIONS. • 1) Who were you with? • Student, class, children, parent, SLP/OT/PT/NURSE, Teacher • 2) What were you doing? • Providing Direct Service, Talking with student, filling out forms, in meeting with staff • 3) Describe why you were doing this activity. • To assist student, speaking with a parent/teacher about student, complete billing forms • 4) Is this service you provided listed on the student’s IEP? • Yes, this service is listed in IEP, No, N/A/ would be for other if not related to student.

  14. RANDOM MOMENT TIME SURVEY • It is important that you fill out your moment, even if you were out of the office, if you were out sick, or it was your scheduled day off. You still need to fill out your moment. • If you do not fill out your moment within 4 days of your moment, the school district will loose out on reimbursable funds. • Please fill out your moments As Soon As Possible!! • The instructions will be in the email they send you. The URL for the RMTS site has changed to: https://easyrmts.pcgeducation.com/RandomMomentTimeStudy/

  15. RANDOM MOMENT TIME SURVEY • After you have answered the questions, please make sure that you follow the directions on how to submit your answers and sign off. • There could be a time where you receive and email asking for more information about your answer. This does happen from time to time. All you will need to do is answer back to their question.

  16. YOUR HARD WORK IS GREATLY APPRECIATED!Contact: Mel AllbrightMedicaid CoordinatorMail Stop #9480-541-1372

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