1. Medicaid Reimbursement for Vision and Hearing Screens Medicaid In The Schools (MITS) January 2008

2. Getting Started…  Vision Screens- Act 1438 (2006 school year) It is the purpose of this requirement to establish eye and vision screenings for students enrolled in pre-k, kindergarten, grade 1, 2, 4, 6, and 8, as well as all transfer students.  With the law came the opportunity to bill for the mandated screens, and then some.

3. What’s New?  Does not require a PCP referral for hearing or vision screens.  Screens completed by LPNs can be billed, if supervised by an RN.  Can bill for all students that have Medicaid, not just special education students.

4. Reimbursement Rates  Vision Screen$14.08  Hearing Screen$12.02

5. Getting Set-up to Bill  Need provider number for vision/hearing screens  Must complete provider enrollment application  Submit to MITS when complete  Copy with instructions on our website at http://arksped.k12.ar.us/sections/medicaid.html

6. Billing Methodology Two ways to bill for screens and other services: 1. EDS or 2. MITS

7. EDS Billing  Requires the user to install software, install an external modem, have a customer service representative to set-up and train the district.  Free software, cost per transaction  User responsible for data entry, eligibility checks, and billing.

8. EDS Contact Information  Provider Representatives: https://www.medicaid.state.ar.us/InternetSo lution/Provider/provreps/provreps.aspx https://www.medicaid.state.ar.us/InternetSo lution/Provider/provreps/provreps.aspx  See Vender Booth for more information

9. MITS Billing  Requires an Interagency Agreement with district and MITS;  Requires district to complete a specific file and submit to MITS for effortless eligibility check and electronic billing. Electronic file includes student name, SSN, date of birth, and LEA #;  Fee for service (5 percent change than what the district is currently paying, but without the ease and time savings).

10. MITS Contact Information Tony Boaz tony.boaz@arkansas.gov Medicaid In The Schools (MITS) 2402 Wildwood, Suite 172 Sherwood, AR 72120 (866) 280-8300, option 1 (Help Desk) (866) 280-8300, option 2 or (501) 835-2093 (Program and Management Office)

11. Arkansas Medicaid Resource Information Arkansas Medicaid www.medicaid.state.ar.us (800) 482-8988 ARKids First www.arkidsfirst.com (888) 474-8275