Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional...
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Transcript of Bureau of Health Services Lea Ann McElroy, Director Sheila Thompson Donna White SBAC Regional...
Bureau of Health ServicesLea Ann McElroy, Director
Sheila ThompsonDonna White
SBAC Regional Training
The Office of Healthy Schools
Special Assistant to the Deputy State Superintendent
Office of Healthy Schools
State Superintendent of Education
Deputy State Superintendent of
Education
Bureau ofChild Nutrition
Bureau ofHealth
Services
Bureau ofSafe & Orderly
Schools
Bureau ofCoordinated
School Health
Coordinated School Health Program
Physical Education
Health Education
Health Services
NutritionServices
Counseling, Psychological
Services
Healthy School Environment
HealthPromotionfor Staff
Family and Community Involvement
Motivated and Learning
Sense of Positive
Self-Esteem
Sense of Belonging and
Importance
Sense of Being Loved and
Appreciated
Free of Fear and In A Safe place
Physical Health
MASLOW’S HEIRARCHY AND COORDINATED SCHOOL HEALTH
Health Education
Physical Education
Health Services
Nutrition Services Counseling, Psychological and Social Services
Healthy School Environment
Family/Community Involvement
Health Promotion for Staff
School-Based Administrative Claiming and the Office of Healthy Schools
Bringing the process “in-house” and eliminating the third-party administrator
School MDE DOM
School-Based Administrative Claiming and the Office of Healthy Schools
Designing a web-based reporting system to automate the process
Processing claims in a timely manner
Consistency and accountability
Regional training locations
School-Based Administrative Claiming Program Guide
Overview of SBAC Implementing SBAC Staff Activities Included Under SBAC Time Study Participants The Time Study Process Training for SBAC Time Study Results and the Cost
Allocation Process Preparing an Invoice for Medicaid
Payment Monitoring and Quality Assurance
School-Based Administrative Claiming Program Guide
Appendix B - SBAC Activities List Appendix C - MDE Contacts Appendix E - SBAC Time Study
Activities Appendix I - 2007-2008 SBAC
Calendar Appendix J – SBAC Training (3 Levels) District User’s Guide
SBAC Training Modules
Three Levels RMS Participant SBAC District Coordinator MDE SBAC Specialist
Training is designed incrementally, based on the knowledge needed for the level of participation
Each level has a relationship to the entire process
Each level is dependent on the other
Level 1 – RMS Participant
What is Medicaid? Who/what is covered? What is EPSDT/Mississippi Cool Kids? What is theCertified School Match Program?
What is SBAC? What is a RMS? Who can be sampled?
Why must I do this? What do I have to do? How do I fill out the form?
True/False test
Level 2 – SBAC District Coordinator
Most essential function Mainly computer manipulation Quality control Assurance that deadlines are met Audit compliance piece
Level 2 – SBAC District CoordinatorMajor Steps (Employee Roster)
Generate initial roster
Document participant training by deadline
Remove untrained participants by deadline
Submit trained roster by deadline
Level 2 – SBAC District CoordinatorMajor Steps (RMS forms)
Track participants’ receipt, completion, and return of RMS forms during the quarter
Verify a percentage of RMS forms
Submit completed RMS forms by deadline
Level 2 – SBAC District CoordinatorMajor Steps (Audit file maintenance)
Quarterly invoice ID information on each group member Cost summaries for participant grouping RMS summary Calculations of Medicaid-eligible student
proportions Total costs Financial allocation with written explanation Certification of State Expenditures form
Level 3 – MDE SBAC Specialists
Most complete understanding of SBAC Recruit and train participating districts Code un-coded “other” RMS forms Enforce deadlines Validate sample Review invoices Work with Medicaid
Using the SBAC Web-based Reporting System