III.
LEAs ENROLLING AS AN EARLY AND PERIODIC SCREENING
DIAGNOSIS AND TREATMENT (EPSDT) PROVIDER
A. Local Governing Authority Approval
It is recommended that the local governing authority of each LEA approve its enrollment
as a provider because the receipt of Medicaid funds has fiscal impact. The local
governing authority can include the school committee, selectmen, town council, or a
Board of Directors.
B. Department of Human Services/Local Education Agency Interagency Provider
Agreement
In order to enroll as a Medical Assistance provider, an LEA must complete, sign and
return an interagency provider agreement with the Department of Human Services
(DHS). The Interagency Provider Agreement between the DHS and LEAs is currently
valid for 2 years and newly signed agreements must be completed once the current
agreement term expires. Copies of the Provider Agreement are available from the DHS
by contacting Sharon Reniere at (401) 462-2187 or sreniere@dhs.ri.gov
C. Certification of Funds Requirement
According to the DHS/LEA Interagency Provider Agreement, “The LEA will certify
matching funds on a quarterly basis, effective with the first day of the calendar quarter in
which the Agreement becomes effective.” The Certification of Funds letter must state
that the LEA certifies that there are sufficient state/local and/or private money being used
as a match for the Federal Medicaid reimbursements. Please refer to Addendum G for a
sample Certification of Funds letter. Each LEA is required to submit a Certification of
Funds letter quarterly for the following dates:
March 31
September 30
June 30
December 31
LEAs receive the Federal share of each Medicaid claim approved for payment because
they provide the state match for the Federal reimbursement. This is known as the Federal
financial participation (FFP), which varies each federal fiscal year and is currently
56.03% for Federal Fiscal Year 2004.
D. Electronic Data System (EDS) Provider Enrollment Process
a. Provider Enrollment Packet
Rhode Island Department of Human Services June 2004
9
EDS is the fiscal agent for the DHS and its Medical Assistance Program. As the fiscal
agent for the DHS, EDS assigns provider numbers to eligible providers, provides billing
