Administrative Claiming

The school environment offers advantages and opportunities to reach children and families to inform, encourage, and assist them to access needed health care services, including enrolling in the Medicaid program. Schools have the responsibility to identify, evaluate, and accommodate the physical and mental health needs of all children who may be at-risk for poor school outcomes. Schools have become an important link for children and families to vital health care services.

Federal law allows for reimbursement for allowable administrative activities required for provision of these services. These activities generally include:

• Public awareness and information
• Facilitating access to programs
• Identification and referral
• Care planning and coordination
• Client assistance to access services
• Family notification

Available federal funding has important economic implications for local education agencies. Many education agencies do not realize that additional revenue may be generated for these administrative activities, thereby missing out on an important revenue stream.

To identify the costs of allowable administrative activities, Leader Services facilitates the required time study of certain staff’s activities. The time study information is converted into a financial cost report and, through the state Department of Education, a quarterly claim is submitted to Medicaid on your behalf.

Leader Services currently facilitates administrative claiming programs in the following states, and is exploring implementing programs in other states throughout the country:

• California
• Pennsylvania

If you are interested in receiving more information about Leader's programs in any of the above states or a custom program in your state, please contact Leader to find out more.

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