Jackson County Oregon - Return to Home  
Recreation - Kayaking
Culture - Concert
AG - Vineyard
History - Covered Bridge
NATURE - Fish Lake
People - Officer Tim and Isabelle
Home Board of Commissioners Departments Services About Jackson County Subscribe Contact Us  
Find it Fast

Back to Health and Human Services
LINE

Contact Information Location & Office Hours
LINE
Wildlife Services
LINE
New Facility Update
LINE
PH Response to Ebola
LINE

Calendar
LINE
Frequent Questions
LINE
Job Opportunities
LINE
Links
LINE
News
LINE
RFPs/Bids
LINE


 / Health and Human Services / School Medicaid Billing / Time Sheet Definitions



A. SCHOOL RELATED AND EDUCATIONAL ACTIVITIES - This code should be used for any other school-related activities that are not health related, such as social services, educational services, employment and job training. Examples: • Classroom instruction, lesson planning. • Testing, correcting papers. • Scheduling field trips. • Report cards/conferences. • Developing/coordinating/monitoring the Individualized Education Plan (IEP)for a student, which includes ensuring annual reviews of the IEP are conducted, parental sign-offs are obtained and the actual IEP meetings with the parents. • Compiling attendance reports. • Performing activities that specific to instructional, curriculum, student-focused areas. B. DISCIPLINE/SUPERVISION - This code should be used for any discipline activities. Examples: • Playground/lunchroom supervision. • Staff supervision. • Conferring with students or parents. C. GENERAL ADMINISTRATION AND OVERHEAD - This code should be used when performing activities not directly assignable to program activities. Examples: • Taking lunch breaks, leave or time not at work. • Establishing goals and objectives of health-related programs as part of the school annual or multi-year plan. • Reviewing school or district procedures/rules. • Attending or facilitating school or unit staff meetings, training, or board meetings. • Performing administrative or clerical activities related to general building or district functions or operations. • Providing general supervision of staff, including supervision of student teachers or classroom volunteers, and evaluation of employee performance. • Reviewing technical literature and research articles. • Other general administrative activities of a similar nature as listed above which cannot be specifically identified under other activity codes. D.1. MEDICAID OUTREACH - Activities that inform eligible or potentially eligible individuals about Medicaid and how to access it. This code should also be used when describing the range of services covered under Medicaid, how to obtain them, and the benefits of Medicaid preventive services. This includes written material or verbal information. Include related paperwork, clerical activities or staff travel required to perform these activities. Examples: • Informing individuals and their families about the availability of Medicaid services, such as preventive, treatment, and screening including services provided through the Early Periodic Screening Diagnosis and Treatment Program (EPSDT). • Assist the Medicaid agency to fulfill objectives of the Medicaid Program by: - Assisting in early identification of children who could benefit from the health services provided by Medicaid. - Informing individuals and their families how to effectively use and maintain participation in all health resources under the Medicaid program. - Contacting pregnant and parenting teenagers about the availability of Medicaid prenatal, and well baby care programs and services. - Conducting a family planning health education outreach program or campaign if it is targeted specifically to family planning Medicaid services and offered to Medicaid eligible individuals. - Providing referral assistance to families where Medicaid services can be provided. ‒ Providing information regarding Medicaid managed care programs and health plans to individuals and families and how to access that system. D.2. NON-MEDICAID OUTREACH - This code should be used by all school staff when performing activities that inform eligible or potentially eligible individuals about non-Medicaid social, vocational and educational programs (including special education) and how to access them; describing the range of benefits covered under these non-Medicaid social, vocational and educational programs and how to obtain them. This includes written material or verbal information. Include related paperwork, clerical activities or staff travel required to perform these activities. Examples: • General health education programs or campaigns addressed to the general population (e.g. DARE, dental hygiene, anti-smoking, alcohol reduction, etc.) • Scheduling and promoting activities which educate individuals about the benefits of healthy lifestyles and practices. • Outreach campaigns directed toward encouraging persons to access social, educational, legal or other services not covered by Medicaid. • Child Find activities; (e.g. assisting in the early identification of children with special medical/mental health needs which must be identified, located and evaluated). E.1. FACILITATING MEDICAID ELIGIBILITY DETERMINATION - School staff should use this code when assisting in becoming eligible for Medicaid. Include related paperwork, clerical activities, or staff travel required to perform these activities. This activity does not include the actual determination of Medicaid eligibility. Examples: • Informing students and their parents about the Medicaid program and referring them to the Department of Human Services, the local branch office or other outreach facility to make application; • Assisting individuals to provide third party insurance information at Medicaid eligibility intake; • Verifying an individual’s current Medicaid eligibility status; • Explaining Medicaid eligibility rules and the Medicaid eligibility process to prospective applicants; • Assisting an application to fill out a Medicaid eligibility application; • Gathering information related to the application and eligibility determination for an individual, including resource information and third party insurance coverage information, as a prelude to submitting a formal Medicaid application. • Providing necessary forms and packaging all forms in preparation for the Medicaid eligibility determination. E.2. FACILITATING NON-MEDICAID ELIGIBILITY DETERMINATION – This code should be used by school staff when informing an individual or family about programs such as TANF, Food Stamps, WIC, day care, legal aid, and other social or educational programs and referring them to the appropriate agency to obtain application. Examples: • Explaining the eligibility process. • Assisting the individual or family with the non-Medicaid program application. This includes assisting in completion of the application, including necessary translation activities. • Developing and verifying initial eligibility per Lunch program. When a school district employee is verifying a student’s eligibility or continuing eligibility for Medicaid for the purpose of developing, ascertaining, or continuing under the Free and Reduced Lunch program, report that activity under this code. • Providing necessary forms and medicaid eligibility determination. F.1. REFERRAL, COORDINATION, MONITORING, AND TRAINING OF MEDICAID SERVICES - School District employees should use this code when making referral for, coordinating, and/or monitoring the delivery of medical (Medicaid Covered) services. This code may also be used by school staff when coordinating, conducting, or participating in training events and seminars for outreach staff regarding the benefit of the Medicaid program, how to assist families to access Medicaid services, and how to more effectively refer students for services. Include related paperwork, clerical activities, or staff travel necessary to perform these activities. Examples: • Making referrals for and/or coordinating medical health, dental health, mental health or substance abuse services covered by Medicaid, including medical or physical examinations and necessary medical evaluations. • Providing information and making referrals for and/or scheduling Medicaid EPSDT screenings (e.g. dental, vision, hearing). • Arranging for any diagnostic or treatment services which may be required as a result of a condition identified during an evaluation or screening. • Gathering information that may be required in advance of these referrals or evaluations. • Working with individuals, their families, other staff, and providers to identify, arrange for, and coordinate services covered under Medicaid that may be required as a result of screens, evaluations, or examinations. • The actual referral of an individual to a Medicaid program for services. • Participating in a meeting to coordinate or review a student’s needs for services covered by Medicaid. • Providing follow-up contact to ensure that an individual has received the prescribed medical service and to provide feedback whether further treatment or medications of existing treatment are required. • Coordinating and monitoring the completion of the prescribed services, termination of services, and the referral of the individual to other Medicaid service providers. • Providing information to other staff on the individual’s medical services and plans. • Participating in or coordinating training which improves the delivery of Medicaid services. • Participating in or coordinating training which enhances early identification, intervention, screening and referral of students with special health needs to EPSDT services. F.2. REFERRAL, COORDINATION, MONITORING AND TRAINING OF NON-MEDICAID SERVICES - School staff should use this code when making referrals for, coordinating, and/or monitoring the delivery of non-medical, such as educational services. This code may also be used by school staff when coordinating, conducting or participating in training events and seminars for outreach staff regarding the benefit of the programs other than the Medicaid program such as educational programs. For example, how to assist families to access the services of the relevant programs, and how to effectively refer student for those services. Include related paperwork, clerical activities, or staff travel required to perform these activities. Examples: • Making referrals for and coordinating access to social and educational services such as child care, employment, job training and housing. • Making referrals for coordination and/or monitoring the delivery of state education agency mandated child health screens (vision, hearing, scoliosis) provided to the general student population. • Making referrals for, coordinating, and monitoring the delivery of scholastic, vocational, and other non-health related examinations. • Gathering information that may be required in advance of these non-Medicaid related referrals. • Participation in a meeting/discussion to coordinate or review a student’s need for scholastic, vocational, and non-health related services not covered by Medicaid. • Monitoring and evaluating training which improves the delivery of services for programs other than Medicaid. • Participating in or coordinating training which enhances IDEA child find programs. G.1. MEDICAID TRANSPORTATION AND TRANSLATION - School district employees should use this code when assisting an individual to obtain transportation to services covered by Medicaid or arranging for or providing translation services to facilitate access to Medicaid services. This does not include the provision os the actual transportation services but rather the administrative activities involved in providing transportation. Nor does it include accompanying the individual to services covered by Medicaid. Include related paperwork, clerical activities or staff travel required to perform these activities. Examples: • Scheduling and/or arranging transportation to Medicaid covered services. • Arranging for or providing translation services that assist the individual to access and understand necessary care or treatment. G.2. NON-MEDICAID TRANSPORTATION AND TRANSLATION - School District employees should use this code when assisting an individual to obtain transportation to services not covered by Medicaid or arranging for or providing translation services related to social, vocational, or educational programs. Include related paperwork, clerical activities or staff travel required to perform these activities. Examples: • Scheduling and/or arranging programs and activities. • Scheduling and/or arranging transportation. H.1. PROGRAM PLANNING, DEVELOPMENT, AND INTERAGENCY COORDINATION RELATED TO MEDICAL SERVICES - School district employees should use this code only when the program planning and policy development is performed full time by a unit of one or more employees whose tasks officially involve program planning, policy development, and interagency coordination, and delivery of Medicaid coverable services to school age children. Only employees whose position descriptions include the above should use this code. Include related paperwork, clerical activities or staff travel required to perform these activities. Examples: • Working with other agencies providing Medicaid services to improve the coordination and delivery of services, to expand access to specific populations of Medicaid eligibles, and to improve collaboration around the early identification of medical problems. • Reducing overlap and duplication in Medicaid services and closing gaps in the availability of services, for school age children. • Develop strategies to increase Medicaid system capacity and close Medicaid service gaps; includes analyzing Medicaid data related to a specific program of specific group. • Interagency coordination to improve delivery of Medicaid services. H.2. PROGRAM PLANNING, DEVELOPMENT, AND INTERAGENCY COORDINATION RELATED TO NON-MEDICAL SERVICES - This code should be used by school staff when performing activities associated with the development of strategies to improve the coordination and delivery of non-medical/non-mental health services to school age children, and when performing collaborative activities with other agencies. Non-medical services may include social, educational, and vocational services. Only employees whose position descriptions include program planning, policy development, and interagency coordination should use this code. Include related paperwork, clerical activities or staff travel required to perform these activities. Examples: • Reducing/identifying gaps, overlap and/or duplication of non-medical services (e.g., social, vocational and educational programs and developing strategies to improve the delivery and coordination of these services. • Developing strategies to assess or increase the capacity of non-medical school programs. • Development procedures for tracking families’ requests for assistance with non-medical services and providers of such services. • Evaluating the need for non-medical services and analyzing the data in relation to specific programs, populations or geographic areas. I. DIRECT MEDICAL SERVICES - School district employees should use this code when providing direct care, service or treatment to a child in order to correct a condition, (e.g. primary health care, speech, OT, PT, counseling, or providing screenings such as vision or hearing). This code includes all the related paper work, clerical activities or staff travel required to perform these activities. Examples: • Providing health/mental health services in an IEP. • Medical/health assessments and evaluation as part of the development of an IEP. • Conducting medical/health assessments/evaluations and diagnostic testing and preparing related reports. • Providing health care/personal aide services. • Administering first aid, or prescribed injection or medication to student. • Providing direct clinical/treatment services. • Performing developmental assessments. • Providing counseling services to treat health, mental health, or substance abuse conditions. J. OTHER SERVICES - All other job-related activities that do not fall under one of the above categories.

 


printer friendly version Printer friendly version

If you have questions regarding the site, please contact the webmaster.
Terms of Use & Privacy Policy | Built using Project A's Site-in-a-Box ©2014
Version 5.12.7