Use of Medicaid Reimbursement (Third Party Billing)

PURPOSE:

Provide guidance in the appropriate expenditure of Medicaid reimbursed funds also known as Third Party Billing.

APPROPRIATE USE OF:

• Primarily to be used to fulfill special education requirements of the students, meeting their IEP goals. To show maintenance of effort.
• Focus should be to support the ongoing needs of the areas generating the Medicaid reimbursement (Nursing, speech therapy, audiology, PT, OT, etc.).
• Should not be used to supplant state operating funds.

PROCEDURE TO EXPEND:

• Request for expenditure of 3rd party billing funds needs to be made on a Field Order A17-A.
• A justification for the purchase needs to be written on the Field Order A17-!.
• The Field Order is submitted to the Principal/Director of On-Campus or the Director of Residential programs for approval.
• The approver is accountable for insuring that the purchase meets the criteria for reimbursement under 3rd Party Billings.
• Submit the approved Field Order to the Supply Officer for processing.