Medicaid Administrative Medicaid Administrative ClaimingClaiming

Train-The-TrainersTrain-The-Trainers

WorkshopWorkshop

Welcome to Medicaid Administrative Welcome to Medicaid Administrative Claiming (MAC)Claiming (MAC)

• The Medicaid Administrative Claiming The Medicaid Administrative Claiming program is being implemented through a program is being implemented through a partnership between:partnership between:– The Department of Human Services (DHS)The Department of Human Services (DHS)– Your ESDYour ESD– Local School DistrictsLocal School Districts– Multnomah Education Service District (MESD)Multnomah Education Service District (MESD)

What is Medicaid?What is Medicaid?

• Medicaid is a health care program Medicaid is a health care program under the Oregon Health Plan (OHP) under the Oregon Health Plan (OHP) which provides medical assistance to which provides medical assistance to low-income children and families at low-income children and families at little or no cost. OHP health care little or no cost. OHP health care benefits include:benefits include:

•MedicalMedical•DentalDental•Mental HealthMental Health•Chemical Dependency ServicesChemical Dependency Services

What is Medicaid What is Medicaid Administrative Claiming ?Administrative Claiming ?• Medicaid Administrative Claiming is a survey Medicaid Administrative Claiming is a survey

method of identifying and accounting for the method of identifying and accounting for the time spent by public school staff on time spent by public school staff on medically related activities, that otherwise medically related activities, that otherwise would be the financial responsibility of the would be the financial responsibility of the State. State.

• Schools provided administrative services Schools provided administrative services that have been found to be necessary for the that have been found to be necessary for the proper and efficient administration of the proper and efficient administration of the State Medicaid plan. State Medicaid plan.

Important FactsImportant Facts• You do not need to know who is You do not need to know who is

Medicaid/OHP eligibleMedicaid/OHP eligible• You do not need to know all about You do not need to know all about

Medicaid/OHPMedicaid/OHP• It is the activity you are doing that is It is the activity you are doing that is

being measured, being measured, not the outcome of the not the outcome of the activityactivity

• The time study determines your time The time study determines your time spent on eligible and non-eligible spent on eligible and non-eligible activitiesactivities

Building Trainer ResponsibilitiesBuilding Trainer Responsibilities

• Attend a two hour MAC train-the-trainers workshop.Attend a two hour MAC train-the-trainers workshop.• Following direction from District MAC Coordinator, Following direction from District MAC Coordinator,

schedule training with staff who have been chosen to schedule training with staff who have been chosen to take the MAC survey each survey period.take the MAC survey each survey period.

• Provide staff training using training tools/materials Provide staff training using training tools/materials provided by your MAC Coordinator.provided by your MAC Coordinator.

• Require staff to sign the training sign in sheet. Require staff to sign the training sign in sheet. Following the training, return the sign in sheet Following the training, return the sign in sheet according to your district process.according to your district process.

• Be available as the first contact on the survey date.Be available as the first contact on the survey date.• Follow-up with any questions or concerns you have Follow-up with any questions or concerns you have

with your District MAC Coordinator.with your District MAC Coordinator.

Resource MaterialsResource Materials

• Medicaid Administrative Claiming Power Point Medicaid Administrative Claiming Power Point PresentationPresentation

• Directions to access the MAC surveyDirections to access the MAC survey

• School-Based Medicaid/OHP Administrative School-Based Medicaid/OHP Administrative Claiming Coding GuideClaiming Coding Guide

• Claimable Categories – Activity CodesClaimable Categories – Activity Codes

• Sample MAC Survey FormSample MAC Survey Form

• Questions Relating to the Activity CodesQuestions Relating to the Activity Codes• Mac Provider Manual Version 2.0Mac Provider Manual Version 2.0

Section 5: Activity Codes FAQ’sSection 5: Activity Codes FAQ’s

MAC ActivitiesMAC Activities• Examples of these MAC activities include:Examples of these MAC activities include:

•discussing access to health care with a discussing access to health care with a student/familystudent/family

•assisting in early identification of children assisting in early identification of children who could benefit from health services who could benefit from health services provided by Medicaidprovided by Medicaid

•contacting pregnant and parenting teens contacting pregnant and parenting teens about the availability of Medicaid prenatal, about the availability of Medicaid prenatal, and well baby care programs and servicesand well baby care programs and services

•providing referral assistance to families providing referral assistance to families where Medicaid services can be providedwhere Medicaid services can be provided

Where do MAC activities take Where do MAC activities take place?place?• MAC activities may take place anywhere MAC activities may take place anywhere

school-age children, their families and school-age children, their families and school personnel are together. For example:school personnel are together. For example:

• in the classroomin the classroom

• in the lunchroomin the lunchroom

•on the playground on the playground

•on a field tripon a field trip

•during a meeting (except for IEP)during a meeting (except for IEP)

•during school conferencesduring school conferences

What school personnel can What school personnel can participate in MAC?participate in MAC?

• ESD and School District staff who ESD and School District staff who have routine contact with students have routine contact with students and families:and families:

•School District AdministratorsSchool District Administrators•PrincipalsPrincipals•Classroom TeachersClassroom Teachers•Classroom AssistantsClassroom Assistants•School SecretariesSchool Secretaries•School NursesSchool Nurses•School CounselorsSchool Counselors

Why would a school district choose Why would a school district choose to participate in MAC?to participate in MAC?

• The MAC process permits the costs of The MAC process permits the costs of allowable administrative activities being allowable administrative activities being performed by school staff, but not performed by school staff, but not otherwise reimbursed, to be reimbursed otherwise reimbursed, to be reimbursed under Medicaid. under Medicaid. – Revenue can be used for vital health and social Revenue can be used for vital health and social

services programsservices programs– Strengthens local relationships among planning Strengthens local relationships among planning

bodies, service providers, and public entitiesbodies, service providers, and public entities– Diversifies funding base for needed programs Diversifies funding base for needed programs

and opportunitiesand opportunities

Examples of Projects throughout Examples of Projects throughout the State funded with MAC dollarsthe State funded with MAC dollars

Dental VansDental Vans

Family Advocates working out of the Family Advocates working out of the schoolschool

School Nursing, Mental Health, School Nursing, Mental Health, Substance Abuse servicesSubstance Abuse services

Other health care or social service Other health care or social service programsprograms

How is MAC time reported for Medicaid How is MAC time reported for Medicaid reimbursement?reimbursement?

• MAC claiming is reported by district staff MAC claiming is reported by district staff completing a web-based survey. The completing a web-based survey. The survey documents services provided by survey documents services provided by school personnel on a normal school day. school personnel on a normal school day. There are three survey periods per school There are three survey periods per school year. Each survey period has five survey year. Each survey period has five survey days within the period. Survey periods days within the period. Survey periods and dates are selected by DHS.and dates are selected by DHS.

•September – DecemberSeptember – December•January – MarchJanuary – March•April – JuneApril – June

How is MAC time reported for Medicaid How is MAC time reported for Medicaid reimbursement?reimbursement?

• District staff participate in the surveyDistrict staff participate in the survey•All staff who are chosen through the All staff who are chosen through the

random survey process must be random survey process must be trained prior to taking the surveytrained prior to taking the survey

•Staff must sign in at the training Staff must sign in at the training •Paid time at school is surveyed in the Paid time at school is surveyed in the

predominant portion of 15 minute predominant portion of 15 minute incrementsincrements

•Staff time falls into any one of ten Staff time falls into any one of ten activity codesactivity codes

How is MAC time reported for Medicaid How is MAC time reported for Medicaid reimbursement?reimbursement?

• It is recommended you complete the survey It is recommended you complete the survey on the assigned random day, however; to on the assigned random day, however; to accommodate for times when you may not accommodate for times when you may not be able to complete the survey on the be able to complete the survey on the assigned day, it is open for 5 days.assigned day, it is open for 5 days.– The survey day, and the next four work days. The survey day, and the next four work days.

Example: If the survey day is Tuesday, October Example: If the survey day is Tuesday, October 12 you would have until Monday, October 18 12 you would have until Monday, October 18 (Tuesday, Wednesday, Thursday, Friday, (Tuesday, Wednesday, Thursday, Friday, Monday) to fill out the survey for the activities Monday) to fill out the survey for the activities you did on October 12.you did on October 12.

Ten Activity CodesTen Activity Codes• AA. School-Related and Educational Activities, other. School-Related and Educational Activities, other• B1B1. Medicaid/OHP Outreach. Medicaid/OHP Outreach• B2B2. Non-Medicaid Outreach. Non-Medicaid Outreach• C1.C1. OHP Referral, Coordination, Training OHP Referral, Coordination, Training• C2C2. Non-OHP Referral , Coordination, Training. Non-OHP Referral , Coordination, Training• D1.D1. OHP Transportation/Translation OHP Transportation/Translation• D2D2. Non-OHP Transportation/Translation. Non-OHP Transportation/Translation• E1.E1. Medical program planning, policy Medical program planning, policy

development, and interagency coordinationdevelopment, and interagency coordination• E2E2. Non-medical program planning, policy . Non-medical program planning, policy

development, and interagency coordinationdevelopment, and interagency coordination• FF. Direct Medical Services. Direct Medical Services

Claimable Categories – Activity Claimable Categories – Activity CodesCodes• When a positive code is used (B1, C1, D1 or E1), When a positive code is used (B1, C1, D1 or E1),

staff will select the specific code from the activity staff will select the specific code from the activity description pop up screen. Example of B1 activity description pop up screen. Example of B1 activity descriptions:descriptions:– B1.1 - B1.1 - Informing children and their families on how to Informing children and their families on how to

effectively access, use, and maintain participation in effectively access, use, and maintain participation in Medicaid/OHP. (Includes describing the range of services, Medicaid/OHP. (Includes describing the range of services, and distributing OHP literature)and distributing OHP literature)

– B1.2 - B1.2 - Assisting the student/family to access, apply for, Assisting the student/family to access, apply for, and/or complete the Medicaid/OHP application. (Includes and/or complete the Medicaid/OHP application. (Includes transportation and translation related to OHP application, transportation and translation related to OHP application, and gathering appropriate information)and gathering appropriate information)

– B1.3 - B1.3 - Checking a student and/or family's OHP status.Checking a student and/or family's OHP status.– B1.4 - B1.4 - Contacting pregnant and parenting teenagers Contacting pregnant and parenting teenagers

about the availability of Medicaid/OHP for prenatal and about the availability of Medicaid/OHP for prenatal and well baby care programs.well baby care programs.

Code A: School Related and Code A: School Related and Educational ActivitiesEducational Activities

•This code should be used for:This code should be used for:any school-related activities such as any school-related activities such as

teaching and educational servicesteaching and educational servicesdeveloping, coordinating and developing, coordinating and

monitoring of a student’s education monitoring of a student’s education plan or IEPplan or IEP

discipline or student supervisiondiscipline or student supervisionsocial services and non-health related social services and non-health related

servicesservices

Code A: Activity ExamplesCode A: Activity Examples

• I developed a lesson plan.I developed a lesson plan.

• I graded tests.I graded tests.

• I supervised the playground, halls, or lunch I supervised the playground, halls, or lunch time.time.

• I discussed a student’s educational progress I discussed a student’s educational progress with a family at parent-teacher conferences.with a family at parent-teacher conferences.

• I helped a student to apply for college.I helped a student to apply for college.

• I assisted in evaluating a textbook.I assisted in evaluating a textbook.

• I attended an IEP team meetingI attended an IEP team meeting

Code B1: Code B1: Medicaid/OHP OutreachMedicaid/OHP Outreach and and Facilitating Medicaid/ OHP Facilitating Medicaid/ OHP EligibilityEligibility•This code should be used for:This code should be used for:informing students/families about OHPinforming students/families about OHPhelping to get information for filling out or helping to get information for filling out or

assisting to fill out the OHP applicationassisting to fill out the OHP applicationcontacting pregnant and parenting teens contacting pregnant and parenting teens

about OHP prenatal and well baby careabout OHP prenatal and well baby carechecking a student/family OHP eligibility checking a student/family OHP eligibility

statusstatus

Code B1: Activity ExamplesCode B1: Activity Examples• I informed a student/family about OHP (B1.1).I informed a student/family about OHP (B1.1).• I helped a family fill out the OHP form (B1.2).I helped a family fill out the OHP form (B1.2).• I referred a family to the local DHS office for I referred a family to the local DHS office for

the OHP application (B1.2).the OHP application (B1.2).• I talked to a teen parent about OHP prenatal I talked to a teen parent about OHP prenatal

and/or well baby care programs and services and/or well baby care programs and services (B1.4).(B1.4).

• I provided necessary forms to a I provided necessary forms to a student/family in preparation for OHP student/family in preparation for OHP eligibility determination (B1.3).eligibility determination (B1.3).

Code B2: Non-Medicaid/OHP Outreach Code B2: Non-Medicaid/OHP Outreach and Facilitating Non-Medicaid/OHP and Facilitating Non-Medicaid/OHP eligibilityeligibility• This code should be used for:This code should be used for:

Child Find outreach activitiesChild Find outreach activitiesinforming students/families about social, informing students/families about social,

vocational, or educational (including vocational, or educational (including special ed) programsspecial ed) programs

describing the services/benefits of these describing the services/benefits of these programsprograms

helping families fill out the necessary helping families fill out the necessary program formsprogram forms

Code B-2: Activity ExamplesCode B-2: Activity Examples• I informed a student/family about general I informed a student/family about general

health information.health information.• I assisted a student/family to fill out a Free I assisted a student/family to fill out a Free

and Reduced lunch application.and Reduced lunch application.• I informed a student/family about social I informed a student/family about social

service and educational programs such as service and educational programs such as WIC, childcare, food stamps, community WIC, childcare, food stamps, community college, higher education, and job training.college, higher education, and job training.

• I participated in Child Find for special I participated in Child Find for special education services.education services.

Code C1: Code C1: ReferralReferral, , CoordinationCoordination, , MonitoringMonitoring and and TrainingTraining of Medicaid/OHP Services of Medicaid/OHP Services• This code should be used for:This code should be used for:making referrals for medical, mental and dental making referrals for medical, mental and dental

health services covered by Medicaidhealth services covered by Medicaidcoordinating the delivery of medical, mental and coordinating the delivery of medical, mental and

dental health services covered by Medicaiddental health services covered by Medicaidmonitoring the delivery of medical, mental and monitoring the delivery of medical, mental and

dental health services covered by Medicaiddental health services covered by Medicaidattending training about MAC and OHP covered attending training about MAC and OHP covered

services and the benefits of those servicesservices and the benefits of those services

Code C-1: Activity ExamplesCode C-1: Activity Examples• I referred a student to medical, dental or mental health I referred a student to medical, dental or mental health

care covered by Medicaid (C1.1).care covered by Medicaid (C1.1).• I participated in a meeting/discussion to coordinate or I participated in a meeting/discussion to coordinate or

review a student’s need for health related services review a student’s need for health related services covered by OHP(C1.2).covered by OHP(C1.2).

• I spoke with a student’s doctor or parent about a change in I spoke with a student’s doctor or parent about a change in medication (C1.2).medication (C1.2).

• I monitored and evaluated the medical service component I monitored and evaluated the medical service component of the IEP not done during the IEP team meeting (C1.3).of the IEP not done during the IEP team meeting (C1.3).

• I gathered information in order to refer a student/family to I gathered information in order to refer a student/family to health care (C1.1).health care (C1.1).

• I participated in a MAC trainingI participated in a MAC training or training about OHP or training about OHP covered service (C1.4).covered service (C1.4).

Code C2: Referral, Coordination, Code C2: Referral, Coordination, Monitoring and Training of Non-Monitoring and Training of Non-Medicaid/OHP ServicesMedicaid/OHP Services

•This code should be used for:This code should be used for:participating in or coordinating state participating in or coordinating state

mandated health screening activitiesmandated health screening activitiesmaking referrals for scholastic, making referrals for scholastic,

vocational, employment and social vocational, employment and social services services

referring to non-Medicaid/OHP referring to non-Medicaid/OHP servicesservices

Code C-2: Activity ExamplesCode C-2: Activity Examples• I participated in IDEA training or other I participated in IDEA training or other

education based in-service training.education based in-service training.• I participated in a meeting/discussion to I participated in a meeting/discussion to

coordinate or review a student’s need for coordinate or review a student’s need for scholastic, employment, vocational and scholastic, employment, vocational and other non-health services.other non-health services.

• I referred a student/family to educational or I referred a student/family to educational or social services.social services.

• I helped to coordinate and deliver the state I helped to coordinate and deliver the state mandated vision and hearing screens.mandated vision and hearing screens.

Code D1: OHP Code D1: OHP TransportationTransportation and and TranslationTranslation

•This code should be used for:This code should be used for:scheduling, arranging or providing scheduling, arranging or providing

transportation to OHP covered transportation to OHP covered servicesservices

scheduling, arranging or providing scheduling, arranging or providing translation services that assist the translation services that assist the individual to access and understand individual to access and understand necessary care and treatmentnecessary care and treatment

Code D1: Activity ExamplesCode D1: Activity Examples

• Transportation:Transportation:– I arranged transportation (e.g. bus, taxi, I arranged transportation (e.g. bus, taxi,

transportation brokerage) to take a student to a transportation brokerage) to take a student to a physical therapy appointment (D1.1).physical therapy appointment (D1.1).

– I drove a child to the hospital for emergency I drove a child to the hospital for emergency medical care (D1.1).medical care (D1.1).

– I arranged a taxi to take a student to a medical I arranged a taxi to take a student to a medical appointment (D1.1)appointment (D1.1)

• Translation:Translation:– I used the assistance of a translator to inform a I used the assistance of a translator to inform a

family about medical services for their child (D1.2).family about medical services for their child (D1.2).– I used the assistance of a sign language I used the assistance of a sign language

interpreter to sign with a deaf student about interpreter to sign with a deaf student about his/her medical/physical, mental health condition his/her medical/physical, mental health condition and available services (D1.2).and available services (D1.2).

Code D2: Non-OHP Code D2: Non-OHP Transportation and TranslationTransportation and Translation

•This code should be used for:This code should be used for:scheduling, arranging or providing scheduling, arranging or providing

transportation to social, vocational transportation to social, vocational and/or other educational programs and and/or other educational programs and activitiesactivities

scheduling, arranging or providing scheduling, arranging or providing translation services to assist individual translation services to assist individual to access and understand necessary to access and understand necessary non-Medicaid/OHP servicesnon-Medicaid/OHP services

Code D2: Activity ExamplesCode D2: Activity Examples• TransportationTransportation

– I arranged transportation for a student to go to I arranged transportation for a student to go to a vocational assessment.a vocational assessment.

– I arranged transportation for a student to I arranged transportation for a student to attend a recreational program.attend a recreational program.

• TranslationTranslation– I arranged for a translator to assist me with I arranged for a translator to assist me with

tutoring a child in math.tutoring a child in math.– I arranged for a translator to assist me to I arranged for a translator to assist me to

communicate with a students parent about the communicate with a students parent about the suspension process.suspension process.

Code E1: Code E1: Program PlanningProgram Planning, , Policy DevelopmentPolicy Development, , Interagency Interagency CoordinationCoordination Related to Medical Related to Medical ServicesServices• This code should be used for:This code should be used for:develop strategies to assess or increase the develop strategies to assess or increase the

capacity of school medical/health programscapacity of school medical/health programswork with other agencies and providers to improve work with other agencies and providers to improve

coordination and collaboration of Medicaid/OHP coordination and collaboration of Medicaid/OHP servicesservices

monitoring the delivery of medical services system monitoring the delivery of medical services system in the schoolsin the schools

creating and reviewing health policies in the schoolscreating and reviewing health policies in the schools

Code E-1: Activity ExamplesCode E-1: Activity Examples• I helped develop strategies to increase the I helped develop strategies to increase the

capacity of the school health programs (E1.1).capacity of the school health programs (E1.1).• I monitored the medical/health delivery I monitored the medical/health delivery

systems in the school (E1.3).systems in the school (E1.3).• I developed an advisory group of health I developed an advisory group of health

professionals to advise the school on health professionals to advise the school on health care services in the school (E1.2).care services in the school (E1.2).

• I participated in an Early Childhood planning I participated in an Early Childhood planning meeting to discuss the coordination of health meeting to discuss the coordination of health care in our community and school (E1.1).care in our community and school (E1.1).

Code E2: Program Planning, Policy Code E2: Program Planning, Policy Development, Interagency Development, Interagency Coordination Related to Non-Medical Coordination Related to Non-Medical ServicesServices

• This code should be used for:This code should be used for:working collaboratively with other agencies to working collaboratively with other agencies to

identify gaps, overlaps or duplication of non-identify gaps, overlaps or duplication of non-medical/health services, such as vocational, medical/health services, such as vocational, social or educational servicessocial or educational services

improve coordination, expand access or improve coordination, expand access or delivery of non-Medicaid/OHP servicesdelivery of non-Medicaid/OHP services

develop strategies to assess or increase the develop strategies to assess or increase the capacity of non-medical, dental and mental capacity of non-medical, dental and mental health school programshealth school programs

Code E-2: Activity ExamplesCode E-2: Activity Examples• I developed strategies to increase the I developed strategies to increase the

capacity of social services in my school.capacity of social services in my school.• I collaborated with a vocational education I collaborated with a vocational education

program to expand services to students.program to expand services to students.• I coordinated the delivery of social I coordinated the delivery of social

services in my school.services in my school.• I attended a meeting coordinating the use I attended a meeting coordinating the use

of the school building by a community of the school building by a community group for a non-health activity.group for a non-health activity.

Code F: Direct Medical ServicesCode F: Direct Medical Services

• This code should be used for:This code should be used for:providing health/dental/mental health providing health/dental/mental health

services contained in the IEPservices contained in the IEPconducting health/dental/mental health conducting health/dental/mental health

assessments/evaluations and diagnostic assessments/evaluations and diagnostic testingtesting

administering first aid or prescribed administering first aid or prescribed injection or medication to a studentinjection or medication to a student

providing speech, occupational, physical providing speech, occupational, physical therapies or counseling servicestherapies or counseling services

Code F: Activity ExamplesCode F: Activity Examples

• I provided mental health counseling I provided mental health counseling contained in an IEP.contained in an IEP.

• I administered first aid to a student on I administered first aid to a student on the playground.the playground.

• I completed a psychological I completed a psychological evaluation and wrote the evaluation evaluation and wrote the evaluation report.report.

• I provided direct speech therapy.I provided direct speech therapy.

Coding Details and GuidelinesCoding Details and Guidelines

• Code only paid time and actual work Code only paid time and actual work hourshours

• Paid leave including absences, vacation, Paid leave including absences, vacation, and personal leave are Code A and personal leave are Code A

• Blank increments on the survey are Blank increments on the survey are only used for unpaid time—otherwise only used for unpaid time—otherwise the survey will default to Code A: otherthe survey will default to Code A: other

• Part-time employees only code the Part-time employees only code the portion of the day they are paidportion of the day they are paid

Documentation to SupportDocumentation to SupportClaimable ActivitiesClaimable Activities

• When completing documentation to When completing documentation to support claimable Medicaid support claimable Medicaid Administrative Claiming (MAC) activities, Administrative Claiming (MAC) activities, it should be:it should be:– Brief;Brief;– Concise;Concise;– Use descriptive words (For example, use the Use descriptive words (For example, use the

code descriptions in the MAC provider manual code descriptions in the MAC provider manual as your guide such as referred, coordinated, as your guide such as referred, coordinated, monitored, etc.); andmonitored, etc.); and

– Only provide information pertinent to the Only provide information pertinent to the claimable activity that was performed.claimable activity that was performed.

Documentation ExamplesDocumentation Examples

• POOR EXAMPLEPOOR EXAMPLEA student with diabetes presented signs of low blood sugar, A student with diabetes presented signs of low blood sugar, tested himself and was found to have a low blood sugar tested himself and was found to have a low blood sugar level. I referred student to the RN to assess the blood level. I referred student to the RN to assess the blood sugar level and provide an injection as needed. The nurse sugar level and provide an injection as needed. The nurse assessed the test results and gave the student the assessed the test results and gave the student the appropriate injection. I monitored the student for 15 appropriate injection. I monitored the student for 15 minutes to ensure no adverse reactions occurred.minutes to ensure no adverse reactions occurred.

• GOOD EXAMPLEGOOD EXAMPLE

– C1.1 – I referred a student to the RN to receive an insulin C1.1 – I referred a student to the RN to receive an insulin injection as needed.injection as needed.

– C1.3 – I monitored the student for 15 minutes afterward C1.3 – I monitored the student for 15 minutes afterward

to ensure no adverse reactions occurred.to ensure no adverse reactions occurred.

Are Trainings Claimable?Are Trainings Claimable?

• Participation in some trainings is Participation in some trainings is claimable under code C1. The claimable under code C1. The premise for claiming trainings is that premise for claiming trainings is that they fit within the following they fit within the following description:description:

• This code may also be used when This code may also be used when coordinating and participating in coordinating and participating in training events and seminars for training events and seminars for outreach regarding the benefits of outreach regarding the benefits of the Medicaid/OHP program, how to the Medicaid/OHP program, how to assist families to access assist families to access Medicaid/OHP services, and how to Medicaid/OHP services, and how to more effectively refer students for more effectively refer students for services.services.

Examples of Claimable Examples of Claimable TrainingsTrainings

• Participating in a MAC training (Note: This does not include Participating in a MAC training (Note: This does not include instructions on how to complete a survey form or the web-instructions on how to complete a survey form or the web-based survey.)based survey.)

• Attending a seminar on how to effectively provide OHP Attending a seminar on how to effectively provide OHP outreach to pregnant and parenting teensoutreach to pregnant and parenting teens

• Participating in a training to learn how to assist potential Participating in a training to learn how to assist potential OHP clients in completing an OHP/CHIP applicationOHP clients in completing an OHP/CHIP application

• Participation in Participation in the portionthe portion of a training that focuses on of a training that focuses on recognition of signs & symptoms of specific medical recognition of signs & symptoms of specific medical conditions. Examples of the portion of trainings that may conditions. Examples of the portion of trainings that may be allowable:be allowable:– Training to recognize signs and symptoms of potential Training to recognize signs and symptoms of potential

suicide risksuicide risk– Training to recognize the signs and symptoms of AutismTraining to recognize the signs and symptoms of Autism– NOTE: Most trainings to identify signs and symptoms NOTE: Most trainings to identify signs and symptoms

are not claimable in their entirety, such as the portion are not claimable in their entirety, such as the portion dealing with the district policies and protocols.dealing with the district policies and protocols.

Examples of Examples of Non-Claimable TrainingsNon-Claimable Trainings

• Participating in a First Aid TrainingParticipating in a First Aid Training• Participating in an EPI TrainingParticipating in an EPI Training• Attending a lecture on IDEA Attending a lecture on IDEA

Reauthorization: How the changes will Reauthorization: How the changes will affect district and health agencies in affect district and health agencies in disciplining students with disabilitiesdisciplining students with disabilities

• Participating in a seminar on “Strategies to Participating in a seminar on “Strategies to keep kids in school and lower problem keep kids in school and lower problem behaviors for students on IEP’s”behaviors for students on IEP’s”

• Bloodbourne Pathogens TrainingBloodbourne Pathogens Training• NOTE: Trainings whose sole purpose are to NOTE: Trainings whose sole purpose are to

assist in the improvement of professional assist in the improvement of professional skills or development are not claimable.skills or development are not claimable.

Who do I contact if I need technical Who do I contact if I need technical assistance?assistance?• 1) The MAC Trainer in your building:1) The MAC Trainer in your building:

• ________________________________________________________________

• 2) The MAC Coordinator for your 2) The MAC Coordinator for your district/ESD: district/ESD:

• ________________________________________________________________

• 3) The MESD Medicaid Facilitator:3) The MESD Medicaid Facilitator:• Wendy Chase – Wendy Chase – wchase@mesd.k12.or.uswchase@mesd.k12.or.us

503-257-1775503-257-1775

Taking the SurveyTaking the Survey

• Web address:Web address:

http://www.mesd.k12.or.us/mac/http://www.mesd.k12.or.us/mac/

QUESTIONSQUESTIONS