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Medicaid in the Schools

Support to Local Education Agencies
The Rhode Island Technical Assistance Project (RITAP) at Rhode Island College provides technical assistance and training in specialized programs and projects, including the services of a Medicaid Coordinator. The Medicaid Coordinator is available to provide training and technical assistance to Local Education Agencies (LEAs), which include school districts and public charter schools, about accessing Medicaid funds for certain services provided to students with disabilities.

Medicaid is a Federal/State program overseen federally by the Centers for Medicare and Medicaid Services (CMS) within the United States Department of Health and Human Services and administered by the Rhode Island Department of Human Services in Rhode Island.

Since Rhode Island General Law 40-8-18, was enacted in 1992, Rhode Island LEAs have been able to enroll as Medical Assistance providers with the Department of Human Services.
www.rilin.state.ri.us/statutes/TITLE40/40-8/40-8-18.HTM

Key provisions of RIGL 40-8-18 include:
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  Enrollment as a provider is voluntary
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  LEAs include school districts, regional school districts, Public Charter Schools, the Regional Educational Collaboratives and the Metropolitan Career and Technical Center (The Met)
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  Payments made to LEAs shall be used solely for educational purposes
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  Federal funds must supplement, not supplant, local maintained fiscal effort to support education
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  LEAs must comply with all provisions relative to the responsibilities of a Medicaid provider pursuant to Title XIX of the Social Security Act
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  LEAs provide the local/state match for federal reimbursement of direct services by certifying their local funds on a quarterly basis


Enrolling as a Medicaid provider enables LEAs to submit claims for certain services provided to students with disabilities. These services include: physical therapy, occupational therapy, speech and language therapy, counseling services, nursing, personal care, assistive technology devices and assistive technology services. For a complete fee schedule for those direct services which are reimbursable, click here

LEAs submit claims for reimbursement to the fiscal agent for the Department of Human Services and are reimbursed for all claims approved. The Medicaid Coordinator at RITAP creates reimbursement reports each quarter for the direct services approved for each LEA and for any administrative claims processed in each quarter. To access the most recent reports, please click here

The Medicaid Coordinator is available to provide the following:

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  Information about how LEAs can enroll as Medical Assistance providers
( guidebook pages )
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  Individual and group training about direct service claims preparation and processing
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  Contact information for the Department of Human Services and Electronic Data System (EDS), the fiscal agent for the state Medicaid program
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  Updates on DHS initiatives and programs
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  Workshop on the CEDARR Initiative, including CEDARR Family Centers and CEDARR Direct Services. Learn more by downloading our CEDARR powerpoint presentation.
.
  Workshop on Medicaid Options,including contact information and an overview of eligibility options and services for children-Learn more by downloading our Medicaid Options powerpoint presentation.
( workshop information )

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