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MEDICAID DOCUMENTS

 
CONFERENCE DOCS
 

Plan of Action and Time Line

Private Provider Letter

Eligibility for IBI or PSR Services

Activities Matrix

Activities Matrix Sample

Assessment Template

Cost Comparison for IBI Services

Guidelines for Hiring

Independent Contractors Table of Contents

Independent Contractors Policy Model

Model Contract

Placing a DT Aide

Private Providers

PSR Qualifications Guidelines

Referral Procedures Flowchart

 

  • Stablization Fund Denied by CMS
  • Medicaid Consent Form
  • Medicaid Consent Form (Spanish)
  • Special Education for My Child How can Medicaid Help?
  • Special Education for My Child How can Medicaid Help? (Spanish)
  • Medicaid Rules (7-07)
  • School-Based Reimbursement Rates Rev_6-08 NEW
  • Notice of Match Payment 06-13-2006
  • Idaho Medicaid Provider Handbook, Clinic Program Guidelines
  • Idaho Medicaid Provider Enrollment Packet
  • Physicians' Guide for Health-Related(Special Education)Services for Children
  • DD Eligbility Checklist
    (This form is required for students who receive IBI and Developmental therapy that is billed to Medicaid)
  • DD Eligibility Checklist Summary
    (This form is required for students who receive IBI and Developmental therapy that is billed to Medicaid.)
  • Referral/Recommendation Form for School-Based Health Related Services
    (Note:This form is for a physician referral or recommendation for those school districts that do not have a physician to sign off on the health -related services identified on the plan.)