|
School Health and Related Services (SHARS)
42.1 Overview 42-3
42.2 Enrollment 42-3
42.2.1 SHARS Enrollment 42-3
42.2.2 Nonschool SHARS Provider Enrollment 42-3
42.2.3 Private School Enrollment 42-4
42.2.4 Medicaid Managed Care Enrollment 42-4
42.3 Reimbursement 42-4
42.3.1 Reimbursement 42-4
42.3.1.1 Random Moment Time Study (RMTS) 42-5
42.3.1.2 Certification of Funds 42-5
42.3.1.3 Cost Reporting 42-5
42.3.1.4 Cost Reconciliation and Cost Settlement 42-6
42.4 Record Retention 42-6
42.5 Eligibility Verification 42-6
42.6 Benefits and Limitations 42-6
42.6.1 Audiology 42-6
42.6.1.1 Audiology Billing Table 42-7
42.6.2 Counseling Services 42-7
42.6.2.1 Counseling Services Billing Table 42-7
42.6.3 Physician Services 42-8
42.6.3.1 Medical Services Billing Table 42-8
42.6.4 Nursing Services 42-8
42.6.4.1 Nursing Services Billing Table 42-8
42.6.5 Occupational Therapy 42-9
42.6.5.1 Occupational Therapy Billing Table 42-9
42.6.6 Physical Therapy 42-10
42.6.6.1 Physical Therapy Billing Table 42-10
42.6.7 Speech Therapy 42-10
42.6.7.2 Description of Services 42-10
42.6.7.3 Provider and Supervision Requirements 42-11
42.6.7.4 Speech Therapy Billing Table 42-11
42.6.8 Evaluation/Assessment and Psychological Services 42-11
42.6.8.1 Evaluation/Assessment 42-11
42.6.8.2 Psychological Services 42-12
42.6.9 Personal Care Services 42-12
42.6.9.1 Personal Care Services Billing Table 42-13
42.6.10 Transportation Services in a School Setting 42-13
42.6.10.1 Transportation Services in a School Setting Billing Table 42-13
42.7 Claims Information 42-14
42.7.1 Other Insurance 42-14
42.7.2 Claims Information 42-14
42.7.3 Appealing Denied SHARS Claims 42-14
42.7.4 Claim Filing Resources 42-14
42.7.5 Billing Units Based on 15 Minutes 42-14
42.7.6 Billing Units Based on an Hour 42-15
|
|
