Direct Service Providers

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Direct Service Providers bill for providing direct health related services to students as indicated in their IEP/IFSP.

Billings are submitted throughout the month for each service provided.  In the service detail section, clearly reconstruct and describe the service provided. ​​Group size must be indicated if you are billing for group therapy.  At the end of the month, enter a monthly summary indicating the student's health related goals and progress and then place the billings into "ready to bill".

Click on the links below for additional resources: 

Listing of procedure codes along with descriptions and examples

Medicaid Billing Power Point - 
Overview of Medicaid School Based Services and complete instructions on who to bill for, what to bill for, how to bill, quality review and RMTS.             

Click on the links below to see different sections of this document:

Who Do I Bill For?
What Do I Bill For?
How Do I Bill?
Quality Review Process
RMTS - Random Moment Time Studies
    

 

 ​