1. Third Party Billing What Building Administrators Need to Know? Independent School District #728

2. What is Third Party Billing (TP) Federal Intent –Use state, local, and private sources to pay for services MN Statute July 1, 2000 –School Districts can seek reimbursement from third party sources for additional revenue for special education Medical Assistance (MA) MinnesotaCare (MC) Tax Equity and Responsibility Act 1982 (TEFRA) Private Insurance (We will not be using this option)

3. Background For T.P. Fiscal Audit in 2004-2005 School Year –Citation regarding third party billing –Corrective action Begin third party billing 2005-2006 school year Corrective Action Timeline –Fall 2005 study T.P. (get smart) –Winter 2005/2006 develop forms –Spring 2006 in-service and implement

4. Who Do Districts Answer to for T.P.? Minnesota Department of Education (MDE) Minnesota Department of Human Services (DHS)

5. How Our District is Addressing Third Party Billing? We are billing for the following health related services: –Personal Care Assistance (PCA ) –Speech and Language Services –Occupational Therapy –Physical Therapy –Psychologists (Evaluations) –Assistive Technology –Special Transportation

6. What Are The Responsibilities for Staff To Complete T.P.? They need to: –Understand T.P. Identify what services are billable –Be able to explain T.P. to parents –Seek permission to bill T.P. annually –Inform other service providers of billing status –Document services correctly in the IEP to meet DHS standards –Complete correct documentation of services –Send forms to District Office staff for billing by the 3rd of each month

7. Additional Responsibilities for Staff No pencil/white out/ditto marks/arrows Only original signatures Do not pre date forms Must use student’s full given name- No nick names Must have correct birth date on form Do not use the word safety when describing service Do not document in the IEP student is eligible for third party billing Do not hold documentation sheets for multiple months