1. Special Education Medicaid Initiative (SEMI)
Presented 3/5/14 M.FEnwick

2. SEMI: Overview
Special Education Medicaid Initiative (SEMI) is a school-based federal program that allows the district to bill Medicaid for services that are provided to eligible students.

3. SEMI: A School-Based Initiative
This program is of no cost to parents and does not impact a family's Medicaid services, funds or coverage limits in any way. It is a school-based service initiative.

4. Why do we participate? We are required.
Any district over a given number of eligible students are required to participate.
Failure to participate can result in loss of funding to districts.
It helps bring revenue to the district.
When a student with disabilities who qualifies receives eligible services, a portion of those services can be billed which brings money to the district.

5. Parent Consent
We participate by first getting Parent Consent and then keeping track and submitting eligible services for reimbursement. There must be one parent consent on file for up to seven years after a student has withdrawn from the district.

6. Sample Parent Consent Form

7. School-Base Services Program Activities Covered
Evaluations
Speech Therapy
Occupational Therapy
Physical Therapy
One IEP Meeting/yr
Psychological Counseling
Audiology
Nursing
Specialized Transportation

8. What Information is shared
SEMI Reimbursement
In order to submit claims, records may be required that include:
First, Middle, & Last Name
Address
Date of Birth
Student ID
Medicaid ID
Disability
Service Dates
Types of Services Delivered

9. Who will see this Information?
Information about your child’s special education program may be shared with NJ Division of Medicaid Assistance & Health Services, Department of the Treasury, PCG, & NJ Department of Education in order to verify the school-based claims for services.

10. You can withdraw at any time by contacting the district.
Parent Consent
If you give a Yes consent:
Your child receives IEP services
The district is able to bill Medicaid for eligible services
No changes occur to your status
If you give a No Consent:
Your child receives IEP services
The district cannot bill Medicaid for eligible services
No changes occur to your status
You can withdraw at any time by contacting the district.

11. Questions? SEMI NJ WEBSITE Our PLPS District website Call or Email
Our PLPS District website
Call or
Michelle Fenwick
(3)
Thank you