RMS Participant Training Continue. Training objectives The first objective of this training is to provide basic information about Medicaid. The second.

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Presentation transcript:

RMS Participant Training Continue

Training objectives The first objective of this training is to provide basic information about Medicaid. The second objective is to explain the School- Based Administrative Claiming (SBAC) program. The final objective is to explain why you were selected to participate in the Random Moment Sampling (RMS) process and what that entails. Continue

What is Medicaid? Medicaid is a Federal and State funded health insurance program for low income and medically needy families and individuals. Special considerations exist for children, pregnant women, disabled, and elderly persons. Continue

Medicaid in Schools Medicaid is authorized by Congress to reimburse for IDEA-related medically necessary services on a Fee-for-Service (FFS) basis. Fee-for-Service is a cost-sharing matching program in which the Education Agency (EA) as an enrolled public entity is responsible for paying the non-federal matching share of the amount of the claims. Continue

Medicaid Fee-For-Service Services rendered under the Medicaid FFS program are not reimbursable under the School Based Administrative Claiming program. Fee-For-Service Participants may include Speech/Language Pathologist Occupational Therapist Physical Therapists Nurses Licensed Clinical Social Workers Continue

What is School-Based Administrative Claiming? The School-Based Administrative Claiming (SBAC) program is federally funded, and administered by Mississippi’s Division of Medicaid and Department of Education. Federal matching funds under Medicaid are available for the cost of administrative activities that directly support efforts to identify and enroll potential eligibles into Medicaid and that directly support the provision of medical services covered under the state Medicaid plan. Continue

The SBAC program reimburses for: Outreach to Medicaid; Assisting with the Medicaid application process; Discussing or planning mental or other health care services for students; Coordinating services with other providers; Planning or developing the school district’s health program; Arranging for special transportation; and Conducting or attending medical/Medicaid training. Continue

School Based Administrative Claiming (SBAC) School employees that perform activities that are in support of the State Medicaid plan, federal reimbursement may be claimable through the “SBAC” program. SBAC Participants may include: Administrators Principals Teachers School Counselors Continue

What is Random Moment Sampling (RMS)? RMS is a time study method that is approved by Medicaid for use by school districts. It enables districts to determine what percentage of time their employees spend on Medicaid reimbursable activities through a random questionnaire. Continue

What is Random Moment Sampling (RMS)? Each quarter, participants are randomly selected to provide details of what they were doing at a specific moment. It is important that the participant complete the needed documentation in a timely fashion. When completing the RMS form, it does not matter whether the student is Medicaid eligible or not. Continue

Who can be sampled? Only certain school district staff can be involved in random moment sampling. These staff members are involved in activities that lead a child or family toward receiving health services, behavioral services, and/or Medicaid benefits. Staff members who are not involved in outreach/health care access activities should not be included in the sampling process. Continue

What do I have to do? The training process will be initiated your school district SBAC Coordinator An will be sent to you within 24 hours after the SBAC Coordinator keys in your contact information The will contain a link that will forward you to a training module that will provide information regarding the SBAC program The information will come from and the subject line will be: SBAC – Employee Training. Continue

Training notification example The link will forward you to your training

Training Verification Page Please verify the following information and contact your SBAC Coordinator if it is incorrect Verify the following information Training Started and Training Complete status will change when complete the training Continue

Select the “View Training Material” button and it will take school district employee to “RMS Participant Training Module” Select the “Fill Out Question” button and this will take you to 10 question True or False quiz Training Verification Page cont’d Continue

Once trained, you will be placed in a Mississippi Pool of “potential candidates” that will receive RMS surveys Each quarter, employees/candidates are randomly selected to provide details of what they were doing at a specific moment. Once your name is returned to the pool of potential candidates, it is still possible for you to receive another RMS survey before the end of the quarter. What do I have to do?

Fill out an RMS at the assigned date and time each quarter that you randomly selected. You may or may not be selected during a quarter since computer matching is by chance. Continue

RMS Notification example The format is as follows: Dear Sampled Participant, This is an to inform you that you have been chosen to complete a Random Moment Study (RMS). Please use the link below AFTER your RMS time has passed. Your RMS TIME is: 5/14/2010 3:07:00 PM. PLEASE NOTE: 1. The RMS should be completed at the appointed time. 2. The RMS cannot be completed before the appointed date Days after the appointed time, the RMS cannot be completed. Link: With Regards, SBAC Administratorhttp:// This link will take the SBAC District Employee to a “Employee Training Verification” screen Continue

How do I fill out the form? You will receive a computer-generated RMS form Select the activity that best describes the activity you were performing during your RMS moment. If “none of the above” applies, please type or write in a description of what you were doing in no more than one or two sentences. Click the “submit” button or sign and date the form to verify that the activity you selected correctly identifies what you were doing during your sample moment. Continue

What do I have to do? Cont’d Fill out an RMS form at the assigned date and time each quarter that you are randomly Will display your name School District Job Title Once the RMS Participant correctly submits the information, this form will lead you to the actual survey.. Continue

Thank you! Thank you for your cooperation with the SBAC program. Your efforts will make the program a success! This concludes this portion of the training. Upon closing this window, you will be directed to take a brief true/false quiz to test your comprehension of the information you have just read. Your overall training is not complete until you have completed the questions. Finished