Brochure for Parents and Guardians
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A u t i s m Wa i v e r I n f a n t s & To d d l e r s Program Program The Autism Waiver through Medical Assis- The Baltimore County Infants and Toddlers tance, allows eligible children with Autism Program brings together many agencies Spectrum Disorder to receive specific with wide experience in support of a child’s waiver services to support them in their healthy development. These agencies in- homes and communities. Services include respite care, environmental accessibilities clude the following: Baltimore County Pub- adaptations, family training, intensive indi- lic Schools, Department of Health, Depart- vidual support services, and therapeutic ment of Social Services, and various private integration. agencies. If your child receives Medicaid, the federal government allows our program Q. I am interested in the Autism Waiver to bill the State of Maryland for services Program. How do I get information provided to your child at no cost to you. and register for this program? The Medicaid funds collected are used to support and increase Early Intervention A. Families interested in registering for Services to all children in the program. the autism waiver should call 1-866- This billing will not affect or change your 417-3480 to get on the waiting list. For Medicaid eligibility or benefits. If your questions regarding the autism waiver, child does not receive Medicaid, no billing please call the Office of Third Party will occur. Billing at 410-887-4130. Q. How are parents informed about Third Party Billing? Q. What are other benefits my child can receive through the waiver? A. Parent/caregivers are informed about the Infants and Toddlers Program by A. The waiver child may use their Medical the interim case manager or parent Assistance card to access additional coordinator during the initial face-to- Medicaid-covered services. face meeting. The Infants and Tod- dlers’ registration form is to be com- pleted at the time of the initial case management contact, initial evalua- tion, or Initial Individualized Family For more information, A Brochure for Service Plan (IFSP) meeting with the parent. please contact: Parents and Q. What services will be provided to my Guardians child in this program? Baltimore County Public Schools A. The Medicaid Program reimburses for Division of Business Services health services generally considered as screening, assessment, treatment, or Office of Third Party Billing Office of Third Party Billing consultation. They include, but are not limited to, high-risk nursing services, Phone: 410-887-4130 Telephone: 410-887-4130 speech/language services, physical Fax: 410-666-8748 Fax: 410-666-8748 therapy services, occupational therapy services, psychological services, audi- E-mail: firstname.lastname@example.org E-mail: email@example.com ological services, social work services, Web site: www.bcps.org/offices/tpb and case management services. www.bcps.org/offices/tpb School-based Health Office of Third Party Billing Questions &Answers Center Program Operations Q. What makes Third Party Billing possi- Q. What case management services are pro- The School-based Health Center Program ble? vided by Baltimore County Public provides comprehensive health and social Third Party Billing is a program that generates Schools? services for school-age children. federal Medicaid funds for the Baltimore County A. On July 1, 1988, President Reagan signed Public Law P. L. 100-360, the Medicare A. Case management services provided to stu- Q. What services are provided at the Public Schools. A recovery cost for medical Catastrophic Coverage Act. This law per- dents and families by Baltimore County Pub- School-based Health Center? services is sought “after the fact” for children who mits school systems to recover costs from lic Schools include: Initial Individualized Edu- meet Medicaid guidelines. Health-related services A. School-based Health Center services public health insurance for services in a cation Plan Development, 60-Day Reviews, that are reimbursable from Medicaid are identi- include: physical exams, health screen- child’s IEP. fied in a student’s Individualized Education Plan Special Reviews, Annual IEP Reviews, Trien- ings, limited diagnostic testing, educa- (IEP) or Individual Family Service Plan (IFSP). nial (3 year) IEP Reviews, and Monthly Ongo- tion, counseling, referrals, and admini- Q. How are parents informed about Third These services include speech pathology, occupa- ing IEP Case Management. stration of necessary medications and Party Billing? tional therapy, physical therapy, nursing, audiol- immunizations. ogy, social work, and psychological services for A. Parents are informed about Third Party Bill- screening, evaluation, and treatment services. Q. My child is enrolled in a Managed Care Q. How does the school system bill for ing through the Third Party Billing registra- Baltimore County Public Schools also bills Medi- Organization (MCO) through Medicaid. School-based Health Center services? tion form or at the IEP team meeting. caid for case management and transportation Does he/she qualify for the Third Party services provided to children ages 3 - 21. These Billing Program? A. The school system will bill private in- Medicaid funds are used to supplement health Q. What will happen to my Medicaid cover surance or medical assistance for al- care services currently provided by the schools. age if I participate? A. If your child is also enrolled in special educa- lowable medical services. If your insur- tion, then they will qualify for the Third Party ance does not cover health center ser- A. There will be no change in your Medicaid Activities of the Office of Third Party Billing Billing program. vices, you will not be billed. coverage if you participate in the Third Party mimic those of a billing unit in a clinic which Billing program. include: Q. If my child is seen at the School-based Q. My child is enrolled in the Maryland Health Center and I have no insur- Q. What happens if my family has private Children’s Health Program (MCHP). • Collection and documentation of data from ance, am I required to pay out of insurance and Medicaid coverage? Does he/she qualify for the Third Party pocket for the services? school-based staff serving eligible children. Billing Program? A. Baltimore County Public Schools provides A. No, regardless of lack of insurance, you • Data verification, review, and correction IEP services at no cost to families. Baltimore A. If your child is also enrolled in special educa- will not be billed for services. prior to the transmittal of data for billing. County Public Schools does not seek reim- tion, then they will qualify for the Third Party bursement from private insurance companies Billing program. The MCHP is an expansion • Monitoring of claims paid and unpaid. for IEP services. of the Maryland Medicaid program. • Reconciliation of claims billed. Q. What is case management? Q. My child qualifies for the Third Party • Training of staff on the regulations and docu- A. Case management is the coordination of Billing Program. What should I do next? mentation required. service activities as outlined in your child’s IEP. The parental approval for case manage- A. Please complete the registration form and ment is provided by signing the IEP and the return it to your child’s school. registration form with case managers listed. There is no cost to the family for participa- tion in this program. Thank you for your support and cooperation!